| 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 |
| Frank Surridge | Head | 39 - 7 | Married | London Camberwell | Fitter. Gas & Hot Water | Fitter | Brentford Gas Co. | 4 Ages Under on, 2, 4 & 5 | ||
| Ada Surridge | Wife | 33 - 2 | Married | London Camberwell | Home Duties | Southwell station Middlesex | ||||
| Winnie Surridge | Daughter | 5 - 10 | Both | London Camberwell | whole time | |||||
| Frank Surridge | Son | 4 - 1 | alive | London Camberwell | ||||||
| Victor Surridge | Son | 2 -1 | Both | London Camberwell | whole time | |||||
| May Surridge | Daughter | Under one month | alive | London Camberwell | ||||||
| Thomas Herron | Visitor | 68 - 6 | Married | Not Known London | Gilder | Out of Work | N.K. | None |
| Address | 36 Mosedale St, Camberwell |
| Place | Camberwell, London |
| Registration District | Camberwell |
| Registration Sub-district | north West Camberwell |
| Enumeration District | 16 |
| Schedule | 50 |
Source: Ancestry - 1921 Census