Case 9059

Application for the Admission of a child

1. Give the child's christian name and surname

E

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

5 years on 25th Nov. 1901 (Born 1896)

3. Legitimate?

yes (confirmed, 22.3.12)

4. If baptized, state place and date of baptism

Baptized at Upton on Severn within 6 weeks of birth

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 of old age & hard work

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

Mother lives in Court St. Upton on Severn 3, years

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

C, 68 dead
E, 26

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.

Farm labourer - 12/- a week, Mr. Sutman Ryall's Court, Upton on Severn

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.

Charwoman at 1/- a day, Mrs. Hill Upton on Severn

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

Mrs. [?] has had 2/- a week & 2 loaves since husband's death

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

Has only a younger sister, E

13. At what address and with whom is the child now living?

mother

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

No relations on father's side
Mother's brother, H, Longden's Heath Upton on Severn, working man 4 children, 15/-
Mother's brother, W, Upper Severn Terrace Worcester, Shopman 2 children, ?
Mother's brother, R, Address unknown
Mother's sister, M, Newport St. Worcester, 8 children