| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| Alfred J. Churcher | Head | M | 47 | Waiter | Worker | London Islington |
| Emma Churcher | Wife | M | 48 | Laundress | Own account | Surrey Epsom |
| Charles Churcher | Son | 16 | Errand boy | Worker | London Camberwell | |
| Charles A. Nott | Friend | U | 38 | Cellarman | Worker | London Islington |
| Reference: | RG13/515/5/123/14/84 |
| Registration District: | Camberwell |
| Sub-registration District: | St George |
| Administrative County: | London |
| Civil Parish: | Camberwell |
| Ecclesiastical Parish: | St John the Divine |
| Municipal Borough: | Camberwell |
| Ward of Municipal Borough: | West Ward |
| Rural District: | |
| Parliamentary Borough or Division: | Nth. Camberwell |
| Town or Village or Hamlet: | |
| Address: | 2 Hollington St |