| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 184/1 | Andrews, James | Male | 1 Apr 1881 | Married | Giant Pneumatic Tyre Fitter Heavy worker | ||
| 184/2 | Andrews, Mary | Female | 2 Mar 1876 | Married | Unpaid domestic duties | ||
| 184/3 | Beswick, Harold | Male | 5 Aug 1926 | Single | At School | ||
| 184/4 | McCarthy, Amy J | Female | 28 Jul 1881 | Married | Unpaid domestic duties |
Source: findmypast - 1939 Register RG101/2607I/003/11