| 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 |
|---|---|---|---|---|---|---|
| Charles FORMAN | Head | Married | 31 | Railway Inspector | Ravenstone, Leicestershire | |
| Maria L FORMAN | Wife | Married | 24 | Leicester, Leicestershire | ||
| Miriam FORMAN | Daughter | 4 | Leicester, Leicestershire | |||
| Ida E FORMAN | Daughter | 3 | Leicester, Leicestershire | |||
| Elizabeth ILLSTON | Mother-in-law | Widow | 67 | Lutterworth, Leicestershire |