| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 86/1 | Kelsall, Harry | Male | 24 Jun 1886 [sic] | Married | Storekeeper | ||
| 86/2 | Kelsall, Louisa | Female | 22 Jun 1888 [sic] | Married | Unpaid domestic duties | ||
| 86/3 | Fitzgibbon, Thomas G.C. | Male | 1 May 1879 | Single | Independant. Retired |
Source: findmypast - 1939 Register RG101/4879G/008/13