| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 284/1 | Groocock, Sarah J | Female | 12 Jun 1873 | Widowed | unpaid domestic duties | ||
| 284/2 | Groocock (Grocock), Muriel | Female | 28 Apr 1904 | Single | Unpaid Domestic Duties | Ambulance Driver | |
| 284/3 | Drury, Bertram E | Male | 24 Jun 1878 | Widowed | Ledger clerk - Textile |
Source: findmypast - 1939 Register RG101/4880J/021/10