| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 191/1 | Lister John W | Male | 20 Mar 1873 | Married | Incapacitated | ||
| 191/2 | Lister Kate | Female | 4 Jun 1873 | Married | Unpaid Domestic D |
Source: findmypast - 1939 Register RG101/3434F/013/22