Case 9662

Application for the Admission of a child

1. Give the child's christian name and surname

L

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

Born June 24th, 1895 at Sharlston

3. Legitimate?

yes

4. If baptized, state place and date of baptism

St. Luke's Church, Sharlston Feb. 3 1897

5. Parents living?

Mother is living

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

Father died Nov: 23, 1902 Heart Disease

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

Mother lives at Frances Terrace, Sharlston Common 15 years

8. Give the christian names and surnames of her parents (in full)

W 61, M 43

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.

Was a coal miner, Sharlston Colliery Co.

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.

Occasionally has a day's cleaning but is not capable of doing much work

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

Father had 2/6

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

J, Francis Terrace, 12, School
J, 9, [?]
J, 14, [?], 1/4 a day perhaps 3 days a week