| Name | Birth Year | Birth Place |
| Matthew Dex | 1860 | Norfolk, England |
| Arthur Forder | 1853 | Norfolk, England |
| Emma Forder | 1857 | Surrey, England |
| Address | Probably 66 Shakespeare Road |
| Parish | Lambeth |
| Registration District | Lambeth |
| County | London, Surrey |
Source: findmypast - 1921 Census