| 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 |
| Charles Thomas Burgess | Head | 43 - 6 | Widowed | Lancashire Cheetam [isc] | Dock Labourer | Out of work | Atlantic Transport ?? Tilbury | 1 - Age 13 | ||
| Arthur Thomas Burgess | Son | 16 - 5 | Essex Tilbury | Store assistant | Orient Line | Orient Line Tilbury | ||||
| Sydney Horace Burgess | Son | 13 - 9 | mother dead | Essex Tilbury |
| Address | 24 Seymour Rd, Tilbury Dk |
| Place | Chadwell St Mary, Essex |
| Registration District | Orsett |
| Registration Sub-district | Grays |
| Enumeration District | 23 |
| Schedule | 299 |
Source: Ancestry - 1921 Census