Case 6351

Application for the Admission of a child

1. Give the child's christian name and surname

E

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

12 Born Dec. 18th, 1885

3. Legitimate?

yes

4. If baptized, state place and date of baptism

S. Andrews Ch. Barking Rd. Plaistow

5. Parents living?

Father & mother living

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

Mother does not know
Father deserted

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

Mother E
Father Q

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.

Bricklayer

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.

Servant

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

not known

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

L, Standhope St. Street, 19, Machinist, not known
E, Elmsdale Road, Westhampton, 15, servant