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 |
324 | Seventh October 1862 Lee Green Eltham |
Albert Thomas | Boy | William Upton | Mary Ann Upton formerly Vinten | General Laborer | Mary Ann Upton
Mother Lee Green Eltham |
Seventeenth November 1862 | William John Mortis Registrar |