| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 15/1 | Severn, Benjamin H | Male | 17 Feb 1911 | Married | Upholsterer | ||
| 15/2 | Severn, Eileen A? | Female | 12 Jun 1918 | Married | Unpaid domestic duties |
Source: findmypast - 1939 Register RG101/0356I/002/39