| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 119/1 | Levain?, Charles W | Male | 10 Nov 1894 | Married | Sauce Maker | ||
| 119/2 | Levain, Norah | Female | 6 Aug 1898 [Originally 6 Aug 1902] | Married | Nil | ||
| 119/3 | Lee, Frank | Male | 24 Jul 1871 | Married | Fitter in Typewriter |
Source: findmypast - 1939 Register RG101/0340F/008/28