| Applicant's Information | |
| Applicant 1st Forename | John |
| Applicant Other Forenames | Jackson |
| Applicant Surname | ADDISON |
| Applicant Relationship To Father | |
| Applicant Admission Date | 04/08/1828 |
| Applicant Occupation | Carpenter |
| Applicant Residence | |
| Apprentice | Y |
| Father's Information | |
| Father 1st Forename | |
| Father Other Forenames | |
| Father Surname | |
| Father Admission Date | |
| Father Deceased | |
| Master's Information | |
| Master 1st Forename | James |
| Master Other Forenames | |
| Master Surname | MILLS |
| Master Admission Date | |
| Notes | |
