| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 79/1 | Bellingham William | Male | 4 Mar 1889 | Married | Petrol Lorry Driver | A.R.P. (Decontamination Staffs CC... | |
| 79/2 | Hill (Bellingham) Mary [Amended to Margaret Irene] | Female | 8 Jan 1919 | Single | Unpaid Domestic Duties | [Marginal Note: Inst 281.3 M] |
Source: findmypast - 1939 Register RG101/5379A/008/21