Case 3271

Application for the Admission of a child

1. Give the child's christian name and surname

F

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

6 yr. 8 mo. Vauxhall Bridge Road

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Yes Ashford May 1892

5. Parents living?

father only

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

mother died of cancer in Cancer Hospital Dec. 27, 1890

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

Father no certain place

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

Mother E
Father A, age 49

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 shoemaker was on his own work

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?

Yes- but not at present

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

[?], [?] Place Leyton, 12, Provision Shop, [?]
A, Hebrew St. [?], 17, general servant
E, not known, 24
M, not known with [?], 3
C, [?] address, 9
F, Varney St. Tunbridge Wells, 11