Case 1214

Application for the Admission of a child

1. Give the child's christian name and surname

A -- A

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

Sept. 1885 -- Dec. 1875

3. Legitimate?

yes -- yes

4. If baptized, state place and date of baptism

Eton Mission Church -- Eton Mission Church

5. Parents living?

Both dead -- Both dead

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

Mother Bronchitis January 3rd, 1888
Father Chronic Bronchitis Nov. 26th 1885

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

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

Mother F
Father M

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.

Toy maker [?] house Lowther Arcade, Mrs. French Lowther Arcade

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.

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

Mother received relief 2/6 a week Bread & grocery

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

F, Chapman Road, 19, Toy maker, £1-0-0
W, Chapman Road, 15, helps his brother, x
F, Chapman Road, 13, helps his brother,
J, Chapman Road, 10,
A, Chapman Road, 7,
A, Chapman Road, 3
x F earns £1 & sometimes more in winter; often not more than 6/ a week in [Jan]