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 |
116 | Twenty second November 1877 21 Park Street |
Emily | Girl | Thomas Bowhill | Emily Bowhill formerly Dear | Iron Worker | Emily Bowhill
Mother 21 Park Street Poplar |
First January 1878 | Abraham Pundy Registrar |