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 |
475 | First of October 1841 Ore |
Henry | Boy | George Catt | Ann Catt formerly Kenward | Labourer | George Catt
Father Ore |
Thirty first of October 1841 | John Cloke Registrar |