| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 128/1 | Slongsby Harriet [sic] | Female | 13 Jan 1872 | Single | Unpaid Domestic Duties | ||
| 128/2 | Potts George | Male | 24 Feb 1872 | Single | Coal Merchants Labourer |
Source: findmypast - 1939 Register RG101/3725D/012/4