New South Wales Birth Certificate
Number
09904/1863
CHILD
Name
Born
Sex
Name
Born
Sex
Alice Constanze
4 June 1863
Female
PARENTS
Father-
Name and Surname of Father
Rank of Profession
Age
Birthplace
When and where married
Father-
Name and Surname of Father
Rank of Profession
Age
Birthplace
When and where married
Wilhelm KOHLER
Miner
41
Berlin, Germany
Castlemaine, Victoria, 10 July 1858
Issue - Living and deceased
Wilhelmina 4, Bertha 2,
Mother -
Name and maiden surname
Age
Birthplace
Name and maiden surname
Age
Birthplace
INFORMANT
Signature, description and residence
of informant
Signature, description and residence
of informant
Antoinette KOHLER, Mother
Spring Street, Forbes
WITNESS
Medical attendant
Nurse
Other witness to birth
Medical attendant
Nurse
Other witness to birth
Dr. BEATTY
Mrs. KAARAT
----
REGISTRAR
Date
Place of Registration
Date
Place of Registration
20 July 1863
Forbes
NOTES (if any)
