| 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 |
| Joseph H. Hollis | Head | 39 - 8 | Married | Southwark County of London | Bricklayer | J. & C. Bowyer Ltd Builders, Upper Norwood | No Fixed place | 2 - Ages 2 & 9 | ||
| Mary Elizabeth Hollis | Wife | 37 - 4 | Married | Dundee Scotland | ||||||
| Mary Lily Hollis | Daughter | 9 - 6 | Both alive | Camberwell London S.E.5 | Whole time | |||||
| Joan Elinen? Hollis | Daughter | 2 - 6 | Both alive | Camberwell London S.E.5 | ||||||
| David Stratton | Brother-in-law | 33 - 8 | Single | Camberwell London S.E.5 | General Labourer | out of work | no fixed place | |||
| Margaret Stratton | Sister-in-law | 27 - 4 | Single | Camberwell London S.E.5 | Metropolitan Police Force | N.K. | ||||
| Lilian Duborn | Sister-in-law | 26 - 11 | Widow | Camberwell London S.E.5 | None |
| Address | 6 Mosedale St, Camberwell |
| Place | Camberwell, London |
| Registration District | Camberwell |
| Registration Sub-district | North WestCamberwell |
| Enumeration District | 16 |
| Schedule | 83 |
Source: Ancestry - 1921 Census