Case 8455

Application for the Admission of a child

1. Give the child's christian name and surname

J

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

12 years 4th February 1889 Walton on Thames

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Yes Walton on Thames - cannot yet obtain date

5. Parents living?

no

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

Father Typhoid fever 1897
Mother consumption March 1900

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 his parents (in full)

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.

Labourer

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?

The mother was in receipt of [?] relief after husbands death until she went into workhouse

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS