| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 150/1 | Collins Charles B. | Male | 20 Mar 1903 | Married | Machine Man Millboard | M. & T. Special Const[able] | |
| 150/2 | Collins Violet G. | Female | 19 Oct 1903 | Unpaid D.D. | |||
| 150/3 | Collins Bernard M. | Male | 18 Jun 1930 | Single | At School | 22059012(36/E) |
Source: findmypast - 1939 Register RG101/0902E/015/5