| 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 |
| Mrs. Paulina Brindley | Mother Head | 60 - 7 | Widowed | Staffs hanley | At Home | none | at Home | |||
| Alice Brindley | Daughter | 27 - 6 | Single | Staffs Hanley | Pottery Transferer | Bourne & Leigh | Leighton Pottery Burslem | |||
| Doris Brindley | Daughter | 18 - 11 | Single | Staffs Burslem | Glost? Warehouse | Tunnicliffe Century Pottery | Burslem | |||
| Nellie Salt | Daughter | 23 - 11 | Married | Staffs Burslem | Glost? Warehouse | Wilkinsons | ?oyal Stiffs? Pottery Burslem | |||
| Hilda Salt | Granddaughter | 0 - 6 | Both alive | Staffs Burslem | ||||||
| George Copeland | Boarder | 23 - 3 | Single | Staffs Burslem | Labourer Pit Bank | Robert Heath | Norton |
| Address | 33 Slater St, Burslem |
| Place | Burslem, Staffordshire |
| Registration District | Wolstanton |
| Registration Sub-district | Burslem |
| Enumeration District | 15 |
| Schedule | 201 |
Source: Ancestry - 1921 Census