| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 174/1 | Jackson, Frederick H | Male | 19 Feb 1907 | Married | Schoolmaster - certificated | ||
| 174/2 | Jackson, Cicely E | Female | 4 Feb 1899 [Corrected to 1902] | Married | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/5028D/013/1