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 |
174 | Twenty fourth December 1915 17 Howson Road |
Joyce Eva | Girl | Richard Williams | Alice Maud Williams formerly Fiveash | Tram Conductor | A.M. Williams
Mother 17 Howson Road Brockley |
Eleventh February 1916 | Thomas Allan Belcham Registrar |