| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 154/1 | Mortimer Thomas E. | Male | 1 Jan 1895 | Married | Commercial Traveller Ladies Wear | ||
| 154/2 | Mortimer Edith E. | Female | 13 Apr 1894 | Married | Unpaid domestic duties | ||
| 154/3 | Mortimer John K. | Male | 22 Jul 1923 | Single | At School | ||
| 154/4 | Mortimer Rex | Male | 2 Apr 1926 | Single | At School |
Source: findmypast - 1939 Register RG101/0770A/011/9