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 |
337 | Ninth November 1897 47 Ancill Street |
Samuel George | Boy | - | Rosetta Wilson a Laundress |
- | R. Wilson
Mother 47 Ancill Street Fulham |
Fifteenth December 1897 | David Shopland Registrar |