| No. in Admissions Register: | 472 |
| Age: | 13 |
| Whence received: | Stafford |
| Description: | |
| Complexion: | Fresh |
| Hair colour: | Brown |
| Eyes colour: | Grey |
| Visage: | - |
| Particular marks: | - |
| State of health: | Good |
| Able-bodied? | Yes |
| Date of admission and term: | 15 May 1872 4 years |
| Late residence: | Tipton |
| Parish he belongs to: | Sedgley |
| Customary work and mode of life: | In iron works |
| Whether illegitimate: | - |
| State of education: | |
| Reads: | Imperfectly |
| Writes: | Imperfectly |
| Offence: | Stealing a handkerchief |
| Circumstances which may have led to it: | Not known |
| Date of sentence, by who and court: | 15 April 1872, Tipton Petty Sessions, E F Smith and J Barrows |
| Where imprisoned: | Stafford |
| Sentence: | 2 months prison (hard labour),4 years at Saltley |
| Previous committals: | |
| Number: | One |
| Length: | 7 days and whipped |
| For what: | Stealing a jacket |
| Father’s name: | Edward Smith |
| Occupation: | Roll turner |
| Mother's name: | - |
| Occupation: | - |
| Parents dead? | Mother |
| Survivor married again? | No |
| Parents’ treatment of child: | Good |
| Character of parents | Good |
| Parents’ wages: | 24s per week |
| Amount parents agree to pay: | 1s 6d per week |
| Parents address: | Water Lane, Tipton |
| Superintendent of police (to collect payments): | J T Holland, Wednesbury |
| Person making this return: | - |
5 February [no year given] Absconded
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