| Name | Birth Year | Birth Place |
| John Samuel Burrows | 1887 [sic] | - |
| Florence Porteous | 1874 | Camberwell, London, England |
| James Porteous | 1871 | Hampstead, London, England |
| Marjorie F Porteous | 1907 | Camberwell, London, England |
| Address | 15 Crofton Road |
| Parish | Camberwell |
| Registration District | Camberwell |
| County | London, Surrey |
Source: findmypast - 1921 Census