| No. in Admissions Register: | 269 |
| Date of admission: | 21 December 1863 |
| Whence received: | Stafford |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Fresh |
| Hair colour: | Brown |
| 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? | Cowpox |
| Particular marks: | Cut in corner of left eye and in centre of forehead |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | Not apparent |
| Subject to fits? | Not |
| Age last birthday: | 13 |
| Illegitimate? | - |
| Birthday: | - |
| Birth place: | - |
| Has resided: | Stafford |
| Parish he belongs to: | - |
| 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 door keys |
| Circumstances which may have led to it: | Loss of parents and having no home |
| Date of sentence: | 21 November 1863 |
| Where convicted: | Stafford Petty Sessions |
| Who prosecuted: | - |
| Where imprisoned: | - |
| Sentence: | 1 month, 3 years at Saltley |
| Previous committals and convictions: | Assault (7 days) |
| Father's name: | Dead |
| Occupation: | - |
| Residence: | - |
| Mother's name: | Dead |
| Occupation: | - |
| Residence: | - |
| Father's character: | - |
| Mother's character: | - |
| Parents dead? | - |
| Survivor married again? | - |
| Parents' treatment of child: | - |
| Character of parents | - |
| Parents' wages: | - |
| Amount parents agree to pay: | - |
| Superintendent of police (to collect payments): | - |
| Relatives to communicate with: | - |
| Person making this return: | - |
| Estimate of character on admission: | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
28 November 1863 There is a report of the theft in the Staffordshire Advertiser Saturday 28 November 1863 p.7 col.4: A YOUTHFUL OFFENDER.-James Smith. a boy twelve years of age, was charged with stealing eight door-keys, the property of Mr. Joseph Jones Heath. It appeared that the prisoner had been employed by the contractor who is carrying out some repairs at Holly Cottage, and that he got Into the house on Sunday afternoon, and stole the keys from the bedroom doors. He pleaded guilty, and Superintendent Oswell stating that he bore a bad character, and had twice previously been charged with felony, the bench committed him to gaol for one month, and ordered that at the expiration of that time he should be confined in a reformatory for three years.
7 June 1866 Emigrated to Canada
October 1867 Unknown
December 1869 Unknown
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