| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 152/1 | Hainsworth, John T. | Male | 19 Sep 1867 | Married | Watchman at Spinning Mill. Retired | ||
| 152/2 | Hainsworth, Caroline | Female | 19 Sep 1869 | Married | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/3602D/012/28