| 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 |
| John William Smith | Head | 59 - 10 | Married | Hackney London | Dock Lab | Atlantic Transport Co | Tilbury Dk | None | ||
| Laura Smith | Wife | 56 - 1 | Married | Birmingham | Home Duties | |||||
| George Hollis | Son in Law | 27 - 6 | Gravesend Kent | Build's Laborer [sic] | Trollope & Cole | None | ||||
| Lucy Eva Hollis | Daughter in Law | 22 - 1 | Poplar London | Ships paint Scrubbing | Orient Line | |||||
| Florence Alice Hollis | 16 - 8 | S[ingle] | Linford Sx | Home Duties | ||||||
| Albert John Hollis | 14 - 4 | B[oth] A[live] | Tilbury Dk | Ships Boiler Scaler | Orient Line |
| Address | 28 Toronto Road |
| Place | Chadwell St Mary, Essex |
| Registration District | Orsett |
| Registration Sub-district | Grays |
| Enumeration District | 24 |
| Schedule | 27 |
Source: Ancestry - 1921 Census