| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 210/1 | Poole Frederick S. | Male | 23 Aug 1865 [sic] | Married | Retired | ||
| 210/2 | Poole Delilah | Female | 19 Sep 1868 | Married | unpaid d d | ||
| 210/3 | Lyons Mary | Female | 19Feb 1913 | Single | Packer Electrical works |
Source: findmypast - 1939 Register RG101/3597B/015/31