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Case 87231. Application to Waifs and Strays' Society 14 November 1901
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- 13. At what address and with whom is the child now living?
- 14. Give in full the names, addresses, ages, occupations and earnings of each living relative the child is known to possess either on the father's or mother's side such as grandparents, uncles, aunts, &c.
- DEGREE OF RELATIONSHIP, NAMES, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS
- Mother, Mrs. L., Church Street Liskeard
- 15. State whether any of the child's relatives are in your judgment in a position to maintain the child, or to contribute in any degree to its support.
- Yes. the mother is prepared to pay £10 a year & send him with a complete outfit of clothes.
- 16.Can any payment for the child be guaranteed from any source? If so, by whom?
- 17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment.
- No
- 18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
- Yes; at Millbrook Cornwall and Liskeard Church Schools ever since he was three; In the V Standard
- 19. Ever attended Sunday School? Is so, where and for how long?
- Yes, regularly for eight years
- 20. Has the child ever been in the workhouse? If so, for how long and where?
- No
- 21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?
- No
- 22. Is the child subject to fits or has she ever had one? If so, state its nature. Is the child subject to incontinence of urine?
- No. No
- 23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?
- No
- 24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has it been vaccinated?
- Has had measles & whooping cough. has been vaccinated
- 25. Is the child's general health good, and has it average mental capacity?
- YesCertificated [?] signature 14.11.1901
- 26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit it wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said child when fully trained to be sent to any situation in the United Kingdom which may be obtained for it by the Committee?
- I certify that the foregoing questions have been replied to by Mr. who is known to me as a responsible person.
- Name - M
- Address - Vicarage, Liskeard
- Incumbent of - Liskeard, Cornwall
- Date - Nov. 14. 1901
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