| Name | Birth Year | Birth Place |
| Edward Henry Fortune | 1900 | Islington, Middlesex, England |
| Annie Griffiths Nicholls | 1871 | Barnstaple, Devon, England |
| Douglas John Nicholls | 1901 | Plumstead, Kent, England |
| James Nicholls | 1857 | Bideford, Devon, England |
| Winnie Nicholls | 1893 | Barnstaple, Devon, England |
| Address | 6 Rushey Green |
| Parish | Lewisham |
| Registration District | Lewisham |
| County | London, Kent |
Source: findmypast - 1921 Census