| Registration District | Poole |
| Sub Registration | Canford |
| Parish | Poole |
| County | Dorsetshire |
| Address | Leyton Road Upper Parkstone |
| Census Reference | RG14PN12272 RG78PN694 RD261 SD1 ED9 SN320 |
| Surname | First Name | Rel | Age | Sex | Marr | Years Marr | Born Live | Living | Died | Occ | Industry | Employ Status | Work at Home | Birthplace | Nationality |
| FUDGE, | Sarah | Mother | 61 | F | Widow | 11 | 8 | 3 | Sturminster Newton Dorset | British | |||||
| FUDGE, | Reginald Mr | Son | 41 | M | Single | Tram Conductor | Bournemouth Corporation Tramway | Sturminster Newton Dorset | British |
| Number of Rooms | Five |
| Signature | Reginald Marwood Fudge |
| Postal Address | Andover, Leyton Road, Upper Parkstone, Dorset |
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