| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 168/1 | Rushbrook Arthur T. | Male | 8 Jul 1911 | Married | Steel Mould Maker & Loco Erector HW. | ||
| 168/2 | Rushbrook Mary E. | Female | 4 Jul 1907 | Married | Unpaid Domestic Duties |
Source: findmypast - 1939 Register RG101/2767H/019/32