| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 1/1 | Ball Frederick C. | Male | 17 Mar 1883 | Married | Manager Off License and Post Office | ||
| 1/2 | Ball Agnes | Female | 5 Jul 1884 | Married | Unpaid Domestic duties | ||
| 1/3 | Male | 11 Oct 1908 | Married | Shop Asst. Off License | |||
| 1/4 | Alabaster Irene A. | Female | 23 Jul 1912 | Married | Unpaid Domestic duties |
Source: findmypast - 1939 Register RG101/0401D/002/3