Case 9697

Application for the Admission of a child

1. Give the child's christian name and surname

J

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

7 - 20 Nov. 1895 Cullen - Woodlesford [nr Leeds]

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Dec. 1895 Cullen Church Woodlesford

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 - typhoid - 1897

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

S. [?] Cambridge S. Harrogate

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

E, 34
-- 30 (at 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.

Quarryman

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.

Tailoress Marlut Square - [?] 14/- per week

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

no

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

K, School's Harrogate at Bedelhum [?], 9