| Registration District | Poole |
| Address | Jubilee Road, Parkstone |
| Surname | First Name | Rel | Age | Sex | Marr | Years Marr | Born Live | Living | Died | Occ | Industry | Employ Status | Work at Home | Birthplace | Nationality |
| BURDEN | John | Head | 27 | M | 5 | None | Labourer General | Own Account | Lytchett Minster, Dorset | ||||||
| BURDEN | Annie | Wife | 27 | F | 5 | - | - | - | Upper Parkstone |
| Number of Rooms | 4 |
| Signature | J Burden |
| Postal Address | Jubilee Rd Parkstone Dorset |
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