Case 6424

Application for the Admission of a child

1. Give the child's christian name and surname

A (known as B)

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

12 years old on March 23 1898 Leamington

3. Legitimate?

no

4. If baptized, state place and date of baptism

at Spencer Stree Chapel, the custom of bapt. here is [?]

5. Parents living?

Father (living with another woman) mother

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 Leamington
Father Tensby

8. Give the christian names and surnames of the parents (in full) and state their ages

Mother W
Father F

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.

Coachman doing nothing

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.

Cook, recently chairing

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

When first deserted received loaves from the Guardians 4 weeks

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

H, 9
J, 8
[?], 7