Case 9653

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

12 years, 7 months. Born at Thrybergh, nr. Rotterham Sept. 15th, 1890

3. Legitimate?

no

4. If baptized, state place and date of baptism

Baptised at Thrybergh, Nr. Rotterham, same year

5. Parents living?

Both

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

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

Mother living at Church St. Luxbro. for last month, Father's address at present, not known

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

M, 29 years,
J, 28 years about

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.

Collier 45/ a week up to August last worked at Roundwood Colliery Rotterham up to August last

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.

Keeping house for two workmen [£1] per week, G, church St. Meybes

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 her brothers and sisters

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

K, travelling with a shooting gallery company, 14, servant
A, Infant, 1 1/2 year

13. At what address and with whom is the child now living?

Mrs. [Hully] Market St. Mexbro. Rham

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

Aunt, E, Quarry St. Mexbro.., 28, Housewife
Uncle, G, Church St. Mexbro.., 26, Engine cleaner
Grandmother --, Church St, Mexbro.., midwife, 7/6
Uncle on mother's side, P, Quarry St. Mexbro.., 23, Collier
Uncle on mother's side, F, India, 25, Soldier