| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 1/1 | Mayersbach, Arthur E. | Male | 31 Jul 1893 | Married | Shop Door Porter | ||
| 1/2 | Mayersbach, Stanley C. | Male | 21 Apr 1922 | Single | Instrument Maker (Aircraft) | ||
| 1/3 | Mayersbach, Clara | Female | 22 Jun 1890 [sic] | Married | Domestic Duties unpaid | ||
| 1/4 | Grant, John R. | Male | 2 May 1910 | Single | Carpenter & Joiner | A.R.P. Rescue Demolition |
Source: findmypast - 1939 Register RG101/0240B/002/3