| Name | Birth Year | Birth Place |
| Malcolm Cook | 1886 | Streatham, London, England |
| Mary Cook | 1860 | Dumfriesshire, Scotland |
| Mary Havers | 1856 | Streatham, London, England |
| James Matthews | 1869 | Streatham, London, England |
| Eliza Tavernor | 1857 | Marwood, Devon, England |
| Address | 5 Hambro Road |
| Parish | Wandsworth Borough |
| Registration District | Wandsworth |
| County | London, Surrey |
Source: findmypast - 1921 Census