| Name | Relationship | Status | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| Alfred Ford | Head | M | 32 | Billard Marker | Midx. Kensington |
| Sarah Ford | Wife | M | 30 | Devon Awliscombe | |
| Alfred H Ford | Son | 11 months | Midx. Shepherds Bush |
| Reference | RG11/60/28/150/56/253 |
| Registration district: | Fulham |
| Sub-registration District: | St Paul Hammersmith |
| Civil Parish of: | Hammersmith |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | Chelsea |
| Town or Village or Hamlet of: | |
| Urban Sanitary District of: | Fulham |
| Rural Sanitary District of: | |
| Ecclesiastical Parish or District of: | St Stephens |
| Address | 50 Stowe Rd. |