| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 104/1 | Flatt, Leslie G.S. | Male | 16 Mar 1914 | Married | Bifufcated? Rivet Setting Machine Operative | ||
| 104/2 | Flatt, Rosie E. | Female | 20 Jul 1913 | Married | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/6531H/009/37