| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 11/1 | Moller John D | Male | 11 Apr 1871 | Married | Gardner [sic] | ||
| 11/2 | Moller Lisetta | Female | 18 Jul 1880 | Married | House duties unpd. | ||
| 11/3 | Moller Kitty Lilian (Lilian K) | Female | 31 Aug 1906 | Single | Domestic Servant |
Source: findmypast - 1939 Register RG101/2614B/002/36