| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 19/1 | Stephenson Arthur | Male | 27 Jun 1875 | Married | (Incapacitated) | ||
| 19/2 | Stephenson Mary J. | Female | 16 Aug 1874 | Married | Unpaid domestic duties |
Source: findmypast - 1939 Register RG101/3619L/004/12