| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 66/1 | Pearson, Maurice | Male | 16 May 1896 | Married | Railway Clerk ([Reti]red) | Senior Air Warden St. John C??? Pud??? | |
| 66/2 | Pearson, Ada | Female | 26 Feb 1902 | Married | News Agent Shop ([Man]ager) |
Source: findmypast - 1939 Register RG101/3701H/006/31