| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 184/1 | Cork, Elizabeth C | Female | 21 Aug 1891 [sic] | Married | Unpaid Domestic Duties | ||
| 184/2 | Taylor, Grace F | Female | 16 Aug 1893 | Single | Boot Upper Fitter (Disabled) | ||
| 184/3 | Taylor, Edward D | Male | 23 Sep 1879 [sic] | Widowed | Dairyman? |
Source: findmypast - 1939 Register RG101/0937E/014/28