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 |
449 | Seventh November 1869 Irchester |
Alice | Gir | John Chapman | Susannah Chapman formerly Hooper | Wheelwright | Susannah Chapman
Mother |
Eleventh December 1869 | G. F. Packwood Registrar |