No | When and where born | Name, if any | Sex | Name, and surname of father | Name, surname and maiden name of mother | Occupation of father | Signature, description and residence of informant | When registered | Signature of registrar | Name entered after registration |
313 | 15 Aug 1965 Herts and Essex General Hospital | Susan Joan | Girl | Lewis Moate | Helen Joan Moate formerly Guy | Customs Officer | Helen Joan Moate Mother The Spinney | 17 Aug 1965 | A H Field | |