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Case 9621

1. Application to Waifs and Strays' Society 30 March 1903

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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 toward its support?
Father 5/- per week through N.S.P.C.C. Manchester Office

16. Can any payment for the child be guaranteed from any source?

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?

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

20. Has the child ever been in the workhouse? If so, for how long and where?

21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing him from entering domestic services?

22. Is the child subject to fits or has the child ever had one? If so, state its nature. Is this child subject to incontinence of urine?

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has he been vaccinated?
Cannot say, has not been vaccinated, he has had small pox

25. Is the child's general health good?
family good, yes, G -- Stephen [?] 13.5.03

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

I certify that the foregoing questions have been correctly replied to, to the best of my belief..
Name [?] Edwin K. Hilton
Address The Secretary N.S.P.C.C. Eliza Rose, 413 Temple Chambers
Incumbent of 33 Bagemose St. Manchester
Date 30 March 1903

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Image of Case 9621 1. Application to Waifs and Strays' Society  30 March 1903
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