| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 165/1 | Harrin William C | Male | 10 Jan 1890 | Married | Watchmaker. Own a/c | ||
| 165/2 | Harrin Florence | Female | 9 Sep 1892 | Married | Unpaid Domestic Duties | ||
| 165/3 | Gunderson? Anne | Female | 17 May 1861 | Widowed | Incapecated? |
Source: findmypast - 1939 Register RG101/7267B/013/13