Case 9649

Application for the Admission of a child

1. Give the child's christian name and surname

W

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

4 years 8th of June 1903, Victoria Terrace [?] Rd. Edgbaston

3. Legitimate?

yes

4. If baptized, state place and date of baptism

S. George's Church, Edgbaston

5. Parents living?

Both living

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

George Street Balsall Health (Mrs. [?])

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

E, 28 years W, 34

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.

[?] 7 pence an hour, according to hours made [?] Bristol Street, a late employer

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.

Machinist about 10/s Mrs. F [?] Mon Street High.

11. Have the parents or guardians ever received parish relief? If so, to what extent?

Yes - 1s & a loaf per week, for one child-

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

J, 2 years