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 |
68 | Sixteenth November 1902 28 Engleheart Road |
Arthur | Boy | William Wickham | Annie Elizabeth Wickham formerly Phillips | General Labourer | A. E. Wickham
Mother 28 Engleheart Road Catford |
Twenty Fourth December 1902 | Thomas Allan Belcham Registrar |