| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 312/1 | Smith Joseph | Male | 14 May 1884 | Single | Engine Driver (Gas) | ||
| 312/2 | Green Marian | Female | 24 June 1865 [sic] | Widowed | Housekeeper |
Source: findmypast - 1939 Register RG101/2190K/002/33