| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 83/1 | Broadhead, Wm. Hy. | Male | 23 Feb 1862 | Married | Watch & Clock repairer | ||
| 83/2 | Purton, Nellie | Female | 16 Jan 1884 | Widowed | unpaid domestic duties |
Source: findmypast - 1939 Register RG101/3462J/010/44