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MPB 510
Ministry of Pensions
Date of Issue of Form: 14.2.45
Office Address: Ministry of Pensions
Tyrone House
18,
Ref. Bel/7842
Application for Pension – Parents of deceased members of the Forces
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I. Particulars relating to deceased member of the Forces
1. Name in full (Surname first in BLOCK letters): (1)
2. (a) Ship or Unit: (1)
R.A.F (2)
3. (This question to be answered only if death occurred after termination of service)
(a) Date of Death . . . . . . . (b) Place of Death
4. Was they (here the word he is preceded by t and followed by y) single, married, widower, divorced or separated? Single.
5. Did they leave any other dependants?
If so, state their names and addresses and their
relationship to him. No
N.A.B. Wt.T.773 15m 5/44 A.W.D & Co. Ltd.
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6. Did your sons
contribute to your support before the present
war, or the commencement of his service with the Forces, if later? Yes, but see below (8)
If so: (a) What was the amount of his (their) regular contribution?
(b) How long had they been contributing at this rate?
(c) If you have any written evidence in support of your answers to (a) and (b) you should enclose it.
(d) Name and address of his (their) employer: (1) Mackies
Ltd.,
(e) What benefit did your son receive in return for his
contribution, e.g. board and lodging, clothing, etc? Everything possible.
7. Did your sons
contribute to your support during his (their) war service? Yes.
If so: (a) What was the amount of his (their) regular contribution? 7/=
each weekly
(b) What amount did you receive :-
(i) As allotment? 7/= weekly (ii) As dependant’s allowance?
(iii) As a War Service Grant? (State number of Allawance Form Book)
(iv)
In any other form such as direct remittance? (Evidence of this should be
forwarded if possible) Sent direct
remittances. £2 to £3 every 6 weeks. Sent by P.O. Letters until George was
killed, occasionally by David.
8. I your son made no contribution before the war, was he an apprentice or studying for a profession?
I so,
give particulars and date on which his apprenticeship or studies would have
been completed. Both sons were
apprentices and gave us all their wages out of which ? them gave their pocket
money.
II.
Particulars relating to applicant
9.
Your name in full (Surname first in BLOCK letters) DOUGLAS Elizabeth Ann
10. Your relationship to the deceased Members of the Forces in respect of whom you claim pension. Mother
11.
Your home address in full: 18
12. (a) Are you married, widowed, divorced or separated? Married
(b) Date of your first marriage: 10.8.1918
(c) If you have re-married, state date of re-marriage.
(d) If you are a widow, state date of husband’s death.
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13.
Give particulars of every any pension,
allowance, gratuity, etc., that has at any time been awarded or granted to or in
respect of the deceased member or yourself, or your husband/wife or any of your
children (including step-children and adopted children), whether now in payment
or not. I none put “NONE” NONE
14
15 Do you claim to be in pecuniary need arising from old age or from infirmity or any other adverse condition not being merely of a temporary character? Infirmity
If so, state the grounds of your claim (See note A)
III. Particulars to be supplied where Certificates are not available.
(In this Part give full names, the surname first in BLOCK letters. For places give full address if possible.)
16. If you cannot readily supply a certificate of your son’s birth, state:-
(a)
Date of his birth (1) 8.12.21 (2)
26.9.24 (b) Place of Birth
(c) His father’s name: Robert James Douglas
(d)
His mother’s name: Elizabeth Ann Douglas
(e)
His mother’s maiden name: McDowell
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DO NOT WRITE HERE
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17. If you cannot readily supply a certificate of your marriage, state :-
(a) Date of marriage: 10.8.1918
(b) Place of marriage St. Anne’s
Cathedral,
(c) Wife’s surname before marriage Mc Dowell
18. If you cannot readily supply your own birth certificate or that of your husband or wife, state :-
Yourself:-
(a) Date of Birth 6.11.98 (b) Place of birth
(c) Your father’s name George McDowell
(d) Your mother’s name Margaret McDowell
(e) Mother’s maiden name Kelemate
Your Husband or Wife:-
(a) Date of birth 11.6.97 (b) Place of birth Lachin,
(c) Father’s name James Douglas
(d) Mother’s name Jane Douglas
(e) Mother’s maiden name McKeown
The remainder should be readily apparent