| No. in Admissions Register: | 456 |
| Age: | 12 |
| Whence received: | - |
| Description: | |
| Complexion: | Fresh |
| Hair colour: | Light brown |
| Eyes colour: | Grey |
| Visage: | - |
| Particular marks: | - |
| State of health: | Good |
| Able-bodied? | Yes |
| Date of admission and term: | 9 October 1871 3 years |
| Late residence: | Miss Selwyn’s School, Sandwell Park, West Bromwich |
| Parish he belongs to: | Bethnal Green |
| Customary work and mode of life: | None |
| Whether illegitimate: | Not known |
| State of education: | |
| Reads: | Imperfectly |
| Writes: | Imperfectly |
| Offence: | Stealing a purse and 2s |
| Circumstances which may have led to it: | - |
| Date of sentence, by who and court: | 9 September 1871, West Bromwich Petty Sessions, J E Bealey and R Bagnall |
| Where imprisoned: | Stafford |
| Sentence: | 1 month prison (hard labour), 3 years at Saltley |
| Previous committals: | |
| Number: | None |
| Length: | - |
| For what: | - |
| Father’s name: | - |
| Occupation: | - |
| Mother's name: | - |
| Occupation: | - |
| Parents dead? | Both |
| Survivor married again? | - |
| Parents’ treatment of child: | - |
| Character of parents | - |
| Parents’ wages: | - |
| Amount parents agree to pay: | - |
| Parents address: | - |
| Superintendent of police (to collect payments): | - |
| Person making this return: | J B Hibbert |
17 February 1875 Placed on trial [for work] with Mr Bluck, tailor, Green Lane
20 October 1875 Working at Shakespeare's sewing machine factory, Herbert Road. Lives at Reformatory
1 December 1875 Working at Shakespeare's, but in lodgings
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