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 |
111 | Thirteenth January 1853 Warbleton |
Sophia | Girl | Thomas Collins | Jane Collins formerly Burchett | Labourer | Thomas Collins
Father |
Fifteenth Feburary 1853 | Isaac Wratten Registrar |