No | When and where born | Name, if any | Sex | Name and surname of father | Name, surname and maiden surname of mother | Occupation of father | Signature, description and residence of informant | When registered | Signature of Registrar |
186 | Second August 1884 37 Northey Street |
Catherine | Female | Jeremiah Cocklin | Elizabeth Cocklin formerly Stevens | Laborer | E. Harris
Present at birth 34 Northey Street Limehouse |
Thirteenth August 1884 | John Capes Registrar |