| Name and Surname of each Person | Relation to Head of Family | Condition | Age | Rank, Profession, or Occupation | Where Born | Whether Blind or Deaf- and-Dumb |
|---|---|---|---|---|---|---|
| Elizabeth KEENE | Head | Widow | 59 | Living on own means | Trentham, Staffordshire | |
| Edith M KEENE | Daughter | Single | 27 | Notting Hill, London | ||
| Ronald KEENE | Son | Single | 16 | Trunk Maker Apprentice | St Giles in the Fields, London | |
| Mary KEENE | Sister-in-law | Single | 63 | Coventry, Warwickshire | ||
| Paulina E PLOCK | Niece | Single | 26 | Teacher (English in Schools) | Derbyshire | |
| Catherine L JOHNSON | Servant | Single | 36 | General Domestic Serviant | Camden, London |