| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 219/1 | Smith John W | Male | 6 May 1874 | Married | General Labourer | ||
| 219/2 | Smith Naamah | Female | 30 April 1873 | Married | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/3639H/017/36