| Name | Relationship | Status | Age | Trade or Profession | Where Born |
|---|---|---|---|---|---|
| John Collorick | Head | M | 41 | Unemployed | Gloucester |
| Eliza Collorick | Wife | M | 36 | London | |
| John W? Collorick | Son | 12 | London | ||
| Emily Collorick | Dau | 9 | London |
| Reference: | RG10/2618/4a/66/33/193 |
| Registration District: | Gloucester |
| Sub-registration District: | South Hamlet |
| Civil Parish [or Township] of: | |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | |
| Town of: | |
| Village of: | Upton St Leomards |
| Local Board, or [Improvement Commissioners District] of: | |
| Ecclesiastical District of: | |
| Address: | Newick? Cottage |