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 |
274 | Twenty seventh June 1906 29 Larcom Street Walworth Road |
Violet Alice | Girl | Richard Williams | Alice Maud Williams formerly Fiveash | Omnibus Conductor | A.M. Williams
Mother 29 Larcom Street Walworth Road |
Second August 1906 | Thos Washford (?) Registrar |