| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 107/1 | Jacob, Emma L | Female | 23 Jan 1866 | Widowed | Private means | ||
| 107/2 | Taylor, Jane | Female | 24 Dec 1880 | Widowed | Cook | ||
| 107/3 | Evans, Miriam | Female | 12 Jul 1906 | Single | School Teacher |
Source: findmypast - 1939 Register RG101/2178K/010/22