| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 191/1 | Clark William R. | Male | 29 Jan 1899 | Married | Clerical Officer |
ARP Warden Part time Unp[aid] | |
| 191/2 | Clark Ethel A. | Female | 13 Aug 1899 | Married | Unpaid Domestic Duties | [Fi]rst Aid ?lesonal Unpa[id] |
Source: findmypast - 1939 Register RG101/1215A/018/1