| Name | Relationship | Status | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| John Bentley | Head | M | 56 | Gen Lab | Surrey Caterham |
| Fanny Bentley | Wife | 53 | Practical Midwife | Surrey Caterham | |
| Ellen Haynes | Visitor | 15 | Middlesex Marylebone | ||
| Harry Haynes | Boarder | 11 | Scholar | Middlesex Marylebone | |
| Mary A Fay Bain | Boarder | U | 18 | Surrey Croydon | |
| Floyd Angelo Bull | Visitor | 12 | Scholar | Surrey Croydon | |
| Alexandrina Swan | Visitor | 2 | Scotland Aberdeen |
| Reference | RG11/803/3/68/33/178 |
| Registration district: | Godstone |
| Sub-registration District: | Godstone |
| Civil Parish of: | Caterham |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | |
| Town or Village or Hamlet of: | |
| Urban Sanitary District of: | |
| Rural Sanitary District of: | Godstone |
| Ecclesiastical Parish or District of: | |
| Address | Chaldon Rd. |