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 |
373 | Twenty third July 1857 28 Martha Street |
Hannah Louisa | Girl | Frederick Smith | Mary Ann Smith formerly Gates | Painter Journeyman | Mary Ann Smith
Mother 28 Martha Street Haggerstone |
First September 1857 | John Ditchman Registrar |