| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 196/1 | Jepson John H | Male | 14 Aug 1889 | Married | Joiner | 23.12.45 MAN CH | |
| 196/2 | Jepson Lily | Female | 24 Nov 1888 | Married | Unpaid Domestic | 27.5.45 MAN CH | |
| 196/3 | Jepson Jack | Male | 17 Mar 1922 | Single | Milk Roundsman | 11.3.41 AF |
Source: findmypast - 1939 Register RG101/4443C/011/5