Case 9309

Application for the Admission of a child

1. Give the child's christian name and surname

M, M, J

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

M, 11 born 14th April 1891 at [?] Cumberland
M, 9, born 25 October, 1893, " Maryford "
J 6, born 21 November 1896 " Maryford "

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Yes

5. Parents living?

mother living, father dead

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

The father died under chloroform during an operation for abscess in Royal Free Hospital, London, March 11, 1902

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

The mother lives at Irving's Place, Botchergade, Carlisle, She has lived there about 6 months.

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

I, 36 years of age
[?], 41 at the time of his death

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.

Laundress, She earns about 4/- a week Mrs. [?] Sismore Terrace, Carlisle

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

The mother receives 6/- a week from the Islington Board of Guardians

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

M, Irvings Place Botchingade, Carlisle, 11, school, nil
M, Irvings Place Botchingade, Carlisle, 9, school, nil
S, Irvings Place Botchingade, Carlisle, 6, School, nil
G, Irvings Place Botchingade, Carlisle, 3, nil
J, Irvings Place Botchingade, Carlisle, 1, nil

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

Grandfather, T, Wigdon, [?], 70, unable to work, nil
Uncle, T, Harrison Sheet, Carlisle, 39, Painter, 26/-
Uncle, T, Tundwald St., 31, Watchmaker, 32/-
Uncle, W, unknown, 43, labourer, 14/-