Case 795

Application for the Admission of a Girl

1. Give the girls's christian name and surname

A

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

15 years, Born in London, Oct. 21 -1870

3. Is she legitimate?

No

4. If baptized, state place and date of baptism

Yes - not long after birth at a Church in Holloway Road London

5. Are her parents living?

Her Mother is living

6. If, however, either or both are dead, state of what disease they died and give the date of their death

Father was drowned - Nov. 1870

7. If living, give their exact places of abode, and state how long they have resided there

Mother lives at Burnley W. Oakham has lived here two years

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

Mother A age 35

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.

Her Step-father works for Mr. B He earns 15/ a week as a Burnley Oakham

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 her parents or guardians ever received parish relief? If so, to what extent?

[?] for fortnight

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

D, Burnley, 13, none, none

G, Burnley, 10, none, none

E, Burnley, 5, none

H, Burnley, 7, none

M, Burnley, 11, none

J, Burnley, 3, none

H, Burnley, 1, none