Case 9621

Application for the Admission of a child

1. Give the child's christian name and surname

T

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

5 years old 20 Febr. 1903 (Born 1898) Charlie St. Ln, Broughton

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Baptised see endorsement

5. Parents living?

yes

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

Father, Garden St, L-Broughton 10 years
Mother Hodson St., Salford, 5 yrs.

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

J, 35
H, 38

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.

Warehouseman 28/- per week, Enoch Butler of Charles St. Manchester

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 Precarious 5/- per week alld. by husband

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

no

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

nil

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

Mrs. Ramsay Gumpsall Lodge

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

Grandfather, S, Garden St, L. Broughton, 73, Warehouseman, 12/-
Grandfather, --, Coburgh St. ", 67, [?] 24/-
Uncle, J, Garden St., 28, Moulder, 40/-
Uncle, T, Hudson St. Salford, 45, Warehouseman, 26/-
Uncle, W, Levonshire St. [?], 43, Warehouseman, 36/-
Grandmother, A, Garden St., 68, Housewife, nil
Aunt, N, S.S. Pauls Rd. Ramsbottom, 32, housewife, nil