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Case 41711. Application to Waifs and Strays' Society for G. 18 November 1893
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- 1. Give the child's christian name and surname.
- G.
- 2. State the exact age, and give the date and place of birth.
- 4 last Aug. 15 August 1889 Liscard B'head
- 3. Legitimate?
- Yes
- 4. If baptized, state place and date of baptism.
- September '89 Poulton Nr. B'head
- 5. Parents living?
- 6. If, however, either or both are dead, state of what disease they died and give the date of their death.
- Mother - For the rest see accompanying form
- Father - of application for his brother
- 7. If living, give their exact places of abode, and state how long they have resided there.
- 8. Give the christian names and surnames of parents (in full) and state their ages.
- 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.
- 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 the brothers and sisters of the child.
- NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS
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