| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 483/1 | Head Frederick J. | Male | 27 Sep 1853 [Amended to 27 Aug 1884] | Married | Light Gardener | [Marginal Note: WPM 28.5.42] | |
| 483/2 | Head Alice M. | Female | 25 Nov 1855 [Amended to 14 Nov 1883] | Married | Unpaid Domestic Duties | [Marginal Note: WPM 28.5.42] | |
| 483/3 | Head Sidney Charles | Male | 2 Apr 1919 | Single | Waiter |
Source: findmypast - 1939 Register RG101/7011B/021/3