| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 69/1 | Cooper John H | Male | 24 Apr 1856 | Married | Shepherd (Retired) | ||
| 69/2 | Cooper Agnes E | Female | 5 July 1857 | Married | unpaid domestic duties |
Source: findmypast - 1939 Register RG101/6532B/007/28