| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 127/1 | Hayward, Robert William | Male | 31 Jul 1911 | Married | Horseman on Farm | ||
| 127/2 | Hayward, Lily E | Female | 27 May 1908 | Married | Unpaid Domestic Duties | [Marginal Note: 310] | |
| 127/3 | Crouch, Barbara | Female | 16 Nov 1928 | Single | At School | Continued line below [Marginal Note: 13 5 ?4 DX] |
Source: findmypast - 1939 Register RG101/6531H/011/23