| Name | Relationship | Status | Age | Trade or Profession | Employment | Where Born |
|---|---|---|---|---|---|---|
| Edward F Shepherd | Head | M | 57 | Dyer and Cleaner | Neither | Yorkshire Halifax |
| Mary A Shepherd | Wife | M | 57 | Sussex Robertsbridge | ||
| Emily Shepherd | Dau | U | 21 | Middx Kensington | ||
| Charles Shapp | Grand Son | 11 | Kent Peckham | |||
| Jessie Bloomfield | Boarder | U | 23 | Dressmaker | Neither | Suffolk Samundham |
| Reference: | RG12/1017/10/33/16/104 |
| Registration District: | Staines |
| Sub-registration District: | Staines |
| Administrative County: | |
| Civil Parish: | Staines |
| Municipal Borough: | |
| Municipal Ward: | |
| Urban Sanitary District: | Staines |
| Town or Village or Hamlet: | |
| Rural Sanitary District: | |
| Parliamentary Borough or Division: | Uxbridge |
| Ecclesiastical Parish or District: | St Mary |
| Address: | London Rd |