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 |
409 | Third April 1891 24 Harris Street |
John Alfred | Boy | Richard Williams | Jacintha Willams formerly Parks | Cork Cutter | J. Williams
Mother 24 Harris Street |
Nineteenth May 1891 | C. W. Gregory Registrar |