24 Section 11 Signature 1. Case details 1.1 Family Composition This section should include family members and relationships, especially the primary carers and significant adults/other children and should specify the relationship in respect of each child subject to the application. Please set out the family members' full names, their dates of birth, their nationality, ethnicity and their current addresses. Parental Name Relationship DOB Nationality Ethnicity Address Responsibility 62 Mainstone Carole Mother Yes British White Road, Hall Smith Town Brother (now Dual Not to be Sam Smith n/a British adopted) heritage disclosed Sam and Alice’s father Jacob Back HMP separated Yes British Donahue Caribbean Dartmoor from Miss Smith 62 Mainstone Bill Miss Smith's No British White Road, Hall Treadwell partner Town 17 Back Maternal Mrs Smith No N/K British White Alley, Hall Grandmother Town 17 Back Maternal Mr Smith No N/K British White Alley, Hall Grandfather Town 25 Brompton Mrs Paternal Black No N/K British Avenue, Hall Donahue Grandmother Caribbean Town Mr 25 Brompton Paternal Black Donahue No N/K British Avenue, Hall Grandfather Caribbean Snr Town 91 Upland Josie Black Paternal Aunt No N/K British Road, Hall Morgan Caribbean Town Paternal 91 Upland Greg No N/K Welsh White Road, Hall Aunt’s Stevens partner Town 91 Upland Dubonay Paternal Dual No British Road, Hall Morgan cousin heritage Town 91 Upland Bud Paternal Dual No British Road, Hall Morgan cousin heritage Town 909 High Maternal Janet Smith No N/K British White Tower, Hall Aunt Town
Section 11 Signature 24 1. Case details 1.1 Family Composition This section should include family members and relationships, especially the primary carers and significant adults/other children and should specify the relationship in respect of each child subject to the application. Please set out the family members' full names, their dates of birth, their nationality, ethnicity and their current addresses. Name Relationship Parental Responsibility DOB Nationality Ethnicity Address Carole Smith Mother Yes British White 62 Mainstone Road, Hall Town Sam Smith Brother (now adopted) n/a British Dual heritage Not to be disclosed Jacob Donahue Sam and Alice’s father separated from Miss Smith Yes British Back Caribbean HMP Dartmoor Bill Treadwell Miss Smith's partner No British White 62 Mainstone Road, Hall Town Mrs Smith Maternal Grandmother No N/K British White 17 Back Alley, Hall Town Mr Smith Maternal Grandfather No N/K British White 17 Back Alley, Hall Town Mrs Donahue Paternal Grandmother No N/K British Black Caribbean 25 Brompton Avenue, Hall Town Mr Donahue Snr Paternal Grandfather No N/K British Black Caribbean 25 Brompton Avenue, Hall Town Josie Morgan Paternal Aunt No N/K British Black Caribbean 91 Upland Road, Hall Town Greg Stevens Paternal Aunt’s partner No N/K Welsh White 91 Upland Road, Hall Town Dubonay Morgan Paternal cousin No British Dual heritage 91 Upland Road, Hall Town Bud Morgan Paternal cousin No British Dual heritage 91 Upland Road, Hall Town Janet Smith Maternal Aunt No N/K British White 909 High Tower, Hall Town
SWE10_populated_case_study_final_130814A.docx