| Name | Relationship | Condition | Age | Rank, Profession, or Occupation | Where Born |
|---|---|---|---|---|---|
| Amelia Bain | 10 | Scholar | Croydon Surrey [sic] | ||
| Geo Willm. Bain | 6 | Scholar | Croydon Surrey [sic] |
| Reference: | RG10/851/North Surrey District School/117/15 |
| Registration District: | Croydon |
| Sub-registration District: | Croydon |
| Civil Parish [or Township] of: | |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | |
| Town of: | |
| Hamlet of: | Penge |
| District of Local Board: | Lewisham |
| Ecclesiastical District or New Parish of: | St. Paul's Penge |
| Name and Description: | North Surrey District School |
| Where Situate: | Anerley Surrey |