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Case 4199

1. Application to Waifs and Strays' Society 30 January 1894

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13. At what address and with whom is the child now living?
With her mother. [Zoan] Terrace [Newborough] [?]

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
Grandfather, on the mother's side, T., [Faultgatta], Newborough, 61 yrs, Sailor, £1.4.0
Grandmother, on the mother's side, E., "", 56 yrs
The grandfather and grandmother on the father's side are dead. The mother's / [?] / had five brothers and four sisters alive, but all are in poor circumstances.

15. State whether any of the child's relatives are in your judgment in a position to maintain the child, or to contribute in any degree to its support.
No, they are all poor people

16.Can any payment for the child be guaranteed from any source? If so, by whom?
[?] Note particularly Guardians recommend this case [?] lady [?] will see that payment in part is made as well.

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment.
No

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
Attends Board School at Newborough, 3 years

19. Ever attended Sunday School? Is so, where and for how long?
Attends Church Sunday School

20. Has the child ever been in the workhouse? If so, for how long and where?
No.

21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?
No.

22. Is the child subject to fits or has she ever had one? If so, state its nature. Is the child subject to incontinence of urine?
No. No

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?
No.

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has it been vaccinated?
Whooping cough. Vaccinated.

25. Is the child's general health good, and has it average mental capacity?
Yes

signed. E. signature [?] Jan. 20th 1894

26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit it wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said child when fully trained to be sent to any situation in the United Kingdom which may be obtained for it by the Committee?
Yes

27. Is there any objections to its being emigrated, if this is thought desirable by the Society?
No

I certify that the foregoing questions have been replied to by the mother who is known to me as a responsible person.
Name - E.
Address - Newborough Rectory, Anglesey
Incumbent of St. Peter's Newborough
Date - January 30th 1894.

Original document

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Image of Case 4199 1. Application to Waifs and Strays' Society  30 January 1894
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