Case 9569

Application for the Admission of a child

1. Give the child's christian name and surname

W

2. State the exact age, and give the date and place of his birth

12 years old

3. Legitimate?

no

4. If baptized, state place and date of baptism

unknown

5. Parents living?

yes mother, no information of father

6. If, however, either or both are dead, state of what disease they died and give the date of their death

7. If living, give their exact places of abode, and state how long they have resided there

Toothill Carnarvon

8. Give the christian names and surnames of his parents (in full)

Mother M, age unknown

9. What was or is the nature of the father's occupation and the amount of his weekly earnings? Give the name and address of his present or last employer.

10. What was or is the nature of the mother's occupation and the amount of her weekly earnings? Give the name and address of her present or last employer.

Charwoman

11. Have the parents or guardians ever received parish relief? If so, to what extent?

12. Give the names, addresses, ages, occupations and earnings (if any) of all his brothers and sisters

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

13. At what address and with whom is the child now living?

14. Give in full the names, addresses, ages, occupations and earnings of each living relative the child is known to possess either on the father's or mother's side such as grandparents, uncles, aunts, &c.

DEGREE OF RELATIONSHIP, NAMES, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS