Case 9316

Application for the Admission of a child

1. Give the child's christian name and surname

a. M, b. H

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

a. 18th April 1889 [?], b. 13th April 1894 near Chesterfield

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Both girls baptized at Shipton 14:12. 1902 M confirmed 7. Apr. 05

5. Parents living?

yes

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

-

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

Gregg's Buildings Dock Road - Worksop 2 or 3 years

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

s, age 40
E, age 44

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.

Coal miner, has been with Wigan Cool Company at Worksop but out of work now. Earnings very uncertain 18/- to 20/- when regularly employed, which is seldom.

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.

crippled - no earnings

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

Mother and children were in workhouse about 18 months whilst father in prison

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

S, Reformatory Blackley [?], 14, nil
E, with parents, 12, nil
L, ditto, 6, nil
S, Grantham Training Home

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

No information can be obtained as to relative on father's side
Maternal Grandmother, S, Blythe Retford, on out relief
Maternal Aunt, S, Blythe, Retford, with the above
Maternal Uncle, w, Mactby, Farm labourer (a marrd. man with family)
Maternal Uncle, K Formerly Worksop gone away, Canter, address not known
Maternal Aunt, Blythe, wife of 10 a farm labourer