Case 4166

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

Grandfather, J., W. Trafalgar Place, Fareham Hants, 73, [aged] pensioner 10/s

Aunt (fathers side), Mrs. E., Lower [Ufford] Woodbridge, Suffolk, 38, husband [Taitor] Asylum, 7/6

Aunt (fathers side), Miss [?], Fareham Hauts, 40

Uncle (mother), H., Grig Street Portsea, 38, [?] Shop

Aunt (mother), Mrs. T., Daniel St. Portsea, 36, Baker

Aunt (mother), Mrs. C., [Landpat] St. Portsea, 42, widow charwoman

Aunt (mother), London, single

15. State whether any of the child's relatives are in your judgment in a position to maintain the child, or to contribute in any degree to its support.

None that I know of are in such a position

16.Can any payment for the child be guaranteed from any source? If so, by whom?

None

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment.

None

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?

Penhale Rd. Board School for 5 yrs. Standard II Portsmouth

19. Ever attended Sunday School? Is so, where and for how long?

Yes, Irregularly for some months S. Bonefare Church of England Mission Clive Rd.

20. Has the child ever been in the workhouse? If so, for how long and where?

Since Wed. Feb. 14 at the Portsmouth Union

21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?

No

22. Is the child subject to fits or has she ever had one? If so, state its nature. Is the child subject to incontinence of urine?

No No

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?

No

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has it been vaccinated?

Scarlet fever, measles, Yes she has been vaccinated

25. Is the child's general health good, and has it average mental capacity?

No Yes. signed signature

26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit it wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said child when fully trained to be sent to any situation in the United Kingdom which may be obtained for it by the Committee?

Yes.

I certify that the foregoing questions have been replied to by G. who is known to me as a responsible person.

Name - Nelson

Address - The Vicarage Portsea Hauts

Curate of - Portsea

Date

In the absence of parents & relations she has been the only authority I could go to but she is only 13 yrs. of age. Still I believe her information to be thoroughly reliable.