| 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 |
| William Wootton | Head | 75 - 10 | Married | London Southwark | Infirm (Old age pensioner) (No occupation) | None | ||||
| Susannah Wootton | Wife | 68 - 4 | Married | London Southwark | Home duties | |||||
| John William Wootton | Grandson | 9 - 5 | Mother dead | London Camberwell | Whole time |
| Address | 4 Mayhews Bldgs |
| Place | Camberwell, London |
| Registration District | Camberwell |
| Registration Sub-district | North West Camberwell |
| Enumeration District | 21 |
| Schedule | 15 |
Source: Ancestry - 1921 Census