| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 174/1 | Ellis, Jesse | Male | 3 May 1878 | Married | Hotel Proprietor | ||
| 174/2 | Ellis, Eva | Female | 7 Aug 1902 [Changed to 2? - HCK 2.12.47] | Married | Unpaid Domestic Duties | ||
| 174/3 | Ellis, Emma | Female | 20 Sep 1854 | Widowed | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/4956G/017/40