| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| Clarence Perrin | Head | M | 36 | Gas Stoker | Essex - Stratford | |
| Alice Perrin | Wife | M | 35 | London - Hackney | ||
| Maud Perrin | Dau | 10 | Essex - Leyton | |||
| Amelia Perrin | Dau | 14 | Essex - West Ham | |||
| Arthur Perrin | Son | 12 | Essex - West Ham | |||
| Charles Perrin | Son | 2 | Essex - Stratford | |||
| Kate Davis | Visitor | 4 | Essex - Ilford |
| Reference: | RG13/1593/39/13/17/107 |
| Registration District: | West Ham |
| Sub-registration District: | Forest Gate |
| Administrative County: | Borough of West Ham |
| Civil Parish: | West Ham (part of) |
| Ecclesiastical Parish: | St. Columba (part of) |
| County Borough, Municipal Borough or Urban District: |
West Ham County Borough (part of) |
| Ward of Municipal Borough or Urban District: |
New Town (part of) |
| Rural District: | |
| Parliamentary Borough or Division: | North Division of West Ham Borough |
| Town or Village or Hamlet: | |
| Address: | 35 Cruickshank Rd |