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 |
126 | Twenty fitfth August 1871 16 Whitfield Street |
Robert Bushby | Boy | Bushby Olliver | Harriett Olliver formerly Hacker | Drapers Porter | B. Olliver
Father 16 Whitfield Street Saint Pancras |
Sixth September 1871 | John Wells Registrar |