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 |
439 | Fifth May, 1894 185 Brixton Road |
Thomas Bushby | Boy | Bushby Olliver | Sophia Olliver formerly Collins | Coachman (domestic) | B. Olliver
Father 185 Brixton Road |
First June, 1894 | Geo. Jalear Registrar |