| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 1/1 | Price Charels | Male | 21 Mar 1890 | Married | Threshing machinist | ||
| 1/2 | Price Ellen | Female | 10 Aug 1893 | Married | Unpaid domestic duties | ||
| 1/3 | Crook (Jorden?) Joyce | Female | 28 Sep 1914 | Single | Corn Merchant's Typist | [Marginal Note: Prior to 16.10.59 OFB M] | |
| 1/4 | Hiles Hector W. | Male | 19 May 1917 | Single | Corn Merchant's Ledger Clerk |
Source: findmypast - 1939 Register RG101/5144I/002/4