| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 65/1 | Clover Henry A | Male | 25 Sep 1880 | Married | Horseman - Farm | ||
| 65/2 | Clover Minnie | Female | 15 Nov 1881 | Married | Unpaid Domestic | ||
| 65/3 | Punt (Clover) Doris M | Female | 25 Apr 1921 | Single | Unpaid Domestic | [Marginal Note: M] |
Source: findmypast - 1939 Register RG101/1535C/005/37