| Name and Surname | Relationship | Age - Years & Months | Marriage or Orphanhood | Birthplace | Nationality | Education | Occupation | Employment | Place of Work | Number & Ages of Living Children under 16 |
| J.C. Evans | Head | 52 - 2 | Married | Bethnal Green | Packer | Fitter Electrical M Co | Pullbourne Rd, Walthamstow | 2 Ages 13 & 15 | ||
| E.R. Evans | Wife | 56 - 3 | Married | Chelsea | Home Duties | |||||
| B. Evans | Daughter | 19 - 11 | Single | Homerton | Clerk | Houghton Butcher Ensign W. Walthamstow | Clifford Rd Walthamstow | |||
| H.M. Evans | Daughter | 15 - 9 | Single | Walthamstow | Examiners assistant | Ensign Camera Works | Clifford Rd Walthamstow | |||
| E. Evans | Daughter | 11 - 9 | Both alive | Walthamstow | School W. Time |
| Address | 11 Kingsley Rd, W Stow |
| Place | Walthamstow, Essex |
| Registration District | West Ham |
| Registration Sub-district | Walthamstow East |
| Enumeration District | 28 |
| Schedule | 181 |
Source: Ancestry - 1921 Census