| Name | Relationship | Age | Particulars as to Marriage | Profession or Occupation | Birthplace | Nationality | Infirmity | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Status | Years Married | Children Born | Children Still Alive | Children Died | Occupation | Industry | Employment | At Home? | ||||||
| Eliza Collorick | Head | 77 | W | None House Property | London | British | ||||||||
The form is signed by H.W. Trowell of 143 Homesdale Road, South Norwood
| RG number: | RG14 |
| Piece: | 2565 |
| Reference: | RG14PN2565 RG78PN86 RD27 SD5 ED22 SN348 |
| Registration District: | Camberwell |
| Sub District: | Peckham North |
| Enumeration District: | 22 |
| Parish: | Camberwell |
| Address: | 67 Clifton Crescent |
| County: | London |