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Case 1214

1. Application to Waifs and Strays' Society 11 September 1888

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13. At what address and with whom is the child now living?
With F, at Chapman Road [Hickory] [?]

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.
Uncle on father's side, Shadwell Street not known, Was a toy maker too old to work supported by his sons, earnings unknown very little seen of them by family all in [?]
Cousin, T. of above, Shadwell Street not known, [?]
Cousin, W, Shadwell Street not known, Barman
Cousin, S, Shadwell Street not known, [Fireman] on board ship
Uncle N, In Australia address not known
Uncle M mother's side, [?], White Chapel nothing further known, iron molder Aunt, [?], Alexander Street Haggerston, Ironer husband out of work very [?]

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 -- no

16. Can any payment for the child be guaranteed from any source?
no -- no

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

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
A has attended Gainsborough [?] Board School 4 years is in 3d standard

19. Ever attended Sunday School? Is so, where and for how long?
& Eton Mission Sunday School 4 years

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

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?
no -- no

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 she been vaccinated?
Diseases not-known. Both vaccinated

25. Is the child's general health good?
yes -- [?]

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

I certify that the foregoing questions have been correctly replied to, to the best of my belief
Name D
Address The Eton Mission Hackney Week
(Incumbent of) Assist Curate at The Eton Mission
Date January 11, 1888

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Image of Case 1214 1. Application to Waifs and Strays' Society 11 September 1888
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