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 |
391 | Seventeenth June 1850 15 Burdett Street |
Robert | Boy | Robert Fiveash | Charlotte Jane Fiveash formerly Dawes | Engineer | Charlotte Jane Fiveash
Mother 15 Burdett Street Walworth Common |
Sixteenth July 1850 | William St John Turner Registrar |