Case 9467

Application for the Admission of a child

1. Give the child's christian name and surname

W

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

7 25.xii.95 Blackley, Manchester

3. Legitimate?

yes

4. If baptized, state place and date of baptism

S. Peter's Blackley Jan. 1896

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 Pneumonia

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

Mother Bengal St., Oldham Rd., Manchester 12 months, previously 6 years in [?] Dwellings, Oldham St. Manchester

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

D, 44
J, 33

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.

Kept sweet shop, 12 months, making about 14/- a week, formerly cleaned stair cases in [?] Dwellings 24/- per week

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.

Cooks & cleans for [?], [?] Manchester, 12/- per week

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

none

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

A, (half brother), Adopted by Mother's brother, 12
J, [?], Bengal St., 9
J, [?], Bengal St., 7
D, [?], Bengal St., 5

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

Bengal St. [?] Rd. Manchester

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

See J : case paper