| 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 |
| Thirza Ann West | Head | 50 - 6 | Widow | Burslem |
Home Duties | None | ||||
| Joseph William West | Son | 24 - 2 | Single | Hanley Staff | Blacksmith | Road Vehicles Bldrs Wolstanton | ||||
| Frank Howard Jeavons | Boarder | 45 - 0 | Single | Chesterton Staffs | Writing Clerk & Book-keeper | The Wolstanton Doll Co Ltd Wolstanton Staff |
| Address | 5 Chetwynd? St, Wolstanton |
| Place | Wolstanton, Staffordshire |
| Registration District | Wolstanton |
| Registration Sub-district | Wolstanton |
| Enumeration District | 9 |
| Schedule | 194 |
Source: Ancestry - 1921 Census