| 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 |
| George Henry Parker Ballantyne | Head | 40 - 0 | Married | London Poplar | Metal Polisher | Smith & Sons out of work Speedometers Manufacturers | Cricklewood | 3 Ages Under One, 1 & 5 | ||
| Jane Maria Ballantyne | Wife | 31 - 9 | Married | London Walworth | Home Duties | |||||
| Peggy Margaret Doris Ballantyne | Daughter | 5 - 0 | Both Alive | London Fulham | Whole Time | |||||
| Ivy Jean Ballantyne | Daughter | 1 - 4 | Both Alive | London Fulham | ||||||
| Marjorie Dorothea Ballantyne | Daughter | 0 - 1 | Both Alive | London Fulham |
| Address | 17 Hugon Rd, S W6 |
| Place | Fulham London |
| Registration District | Fulham |
| Registration Sub-district | South Fulham |
| Enumeration District | 28 |
| Schedule | 229 |
Source: Ancestry - 1921 Census