| No. in Admissions Register: | 230 |
| Date of admission: | 21 January 1862 {not brought until the 29 |
| Whence received: | Stafford |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Pale |
| Hair colour: | Black |
| Eyes colour: | Hazel |
| Perfect vision? | Yes |
| State of health: | Good |
| Able-bodied? | Yes |
| Sound intellect? | Yes |
| Use of all limbs? | Yes |
| Had cow or small pox? | Neither |
| Particular marks: | Large cut second finger left hand |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | No |
| Subject to fits? | No |
| Age last birthday: | 15 |
| Illegitimate? | - |
| Birthday: | - |
| Birth place: | - |
| Has resided: | Keresley, Coventry |
| Parish he belongs to: | Meriden |
| Customary work and mode of life: | - |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Not at all |
| Writes: | Not at all |
| Cyphers: | - |
| General ability: | - |
| Offence: | Stealing 2 fowls |
| Circumstances which may have led to it: | - |
| Date of sentence: | 8 January 1862 |
| Where convicted: | Coleshill |
| Who prosecuted: | - |
| Where imprisoned: | Warwick |
| Sentence: | 14 days prison, 2 years at Saltley |
| Previous committals and convictions: | None |
| Father's name: | William Harper |
| Occupation: | Butcher |
| Residence: | Keresley, Coventry |
| Mother's name: | Sarah Harper |
| Occupation: | - |
| Residence: | - |
| Father's character: | - |
| Mother's character: | - |
| Parents dead? | Mother |
| Survivor married again? | No |
| Parents' treatment of child: | Good |
| Character of parents | Not known |
| Parents' wages: | Not known |
| Amount parents agree to pay: | No agreement |
| Superintendent of police (to collect payments): | - |
| Relatives to communicate with: | - |
| Person making this return: | John Anderson, county Prison, Warwick |
| Estimate of character on admission: | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
20 January 1863 [should be 1864] Left on expiration of term
20 December 1864 Seen by Mr Cooke. Doing well
October 1866 Called at the school. Doing well
January 1868 Clergyman wrote, speaking well of him
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