| Civil Parish of | Bermondsey |
| Ecclesiastical Parish | St Augustine Bermondsey |
| County of | London |
| Registration District | St Olave Southwark |
| Sub Registration | Bermondsey |
| Census Reference | RG13 395 111 Page 13 |
| No. on the Schedule | 85 |
| Road, Name of House | 221 Fort Rd |
| No of Rooms if less than 5 | 4 |
| Name | Rel | Condition | Age | Sex | Occupation | Employment Status | Where Born |
| Walter HART | Head | M | 27 | M | Insurance Clerk | Worker | London Bermondsey |
| Agnes HART | Wife | M | 27 | F | London Bermondsey | ||
| Agnes E HART | Daur | S | 1 | F | London Bermondsey |
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