Case 9045

Application for the Admission of a child

1. Give the child's christian name and surname

G

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

6 1/2 years - Nov. 29, 1895- Tilson Rd. Peckham

3. Legitimate?

yes

4. If baptized, state place and date of baptism

S. Luke's Camberwell, Decr. 1895

5. Parents living?

mother

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

Father died 31st July 1901 - Heart disease

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

Tilson Rd. Peckham, 7 months

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

G 38

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.

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.

Cleaner, infirmary - [15/- ?], infirmary, Hant. St. Camberwell

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

Twice - once for 2 weeks - once for 4 - [2/8 ?] a week

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

O, Tilson Rd., 2 yrs.
G, Tilson Rd., 5 months