| Name | Birth Year | Birth Place |
| Winifred Grace Broomhall | 1917 | Staines, Middlesex, England |
| Cecil James Smith | 1891 | Middlesex, England |
| Christina Helen Smith | 1918 | Staines, Middlesex, England |
| Jessie Hilda Smith | 1920 | Staines, Middlesex, England |
| Margaret Helen Smith | 1890 | Herefordshire, England |
| Address | Unknown |
| Parish | Staines |
| Registration District | Staines |
| County | Middlesex |
Source: findmypast - 1921 Census