| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 303/1 | Smith Arthur W | Male | 1 May 1900 | Married | Coal Hoist Labourer Heavy Worker | ||
| 303/1 | Smith Edith E | Female | 23 Aug 1903 | Married | Unpaid Domestic Duties | ||
| 304/1 | Bain Lily A | Female | 24 Mar 1888 | Single | Domestic Worker |
Source: findmypast - 1939 Register RG101/1142H/019/14