| No. in Admissions Register: | 115 |
| Date of admission: | 28 September 1857 |
| Whence received: | Westminster House of Correction |
| By whom brought: | - |
| On what terms: | Committed |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Fair |
| Hair colour: | Brown |
| Eyes colour: | Blue |
| Perfect vision? | Yes |
| State of health: | Good |
| Able-bodied? | Yes |
| Sound intellect? | Yes |
| Use of all limbs? | Yes |
| Had cow or small pox? | Yes |
| Particular marks: | Small scars on right wrist and left arm |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | No |
| Subject to fits? | No |
| Age last birthday: | 10 |
| Illegitimate? | No |
| Birthday: | - |
| Birth place: | - |
| Has resided: | 14 Brunswick Street, Clerkenwell |
| Parish to which he belongs: | Clerkenwell |
| Customary work and mode of life: | Errand boy to an engineer |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Monosyllables |
| Writes: | Nil |
| Cyphers: | - |
| General ability | - |
| Offence: | Vagrancy |
| Circumstances which may have led to it | Bad company fallen into through neglecting to go school |
| Date of sentence: | 7 July 1857 |
| Where convicted: | Westminster Police Court before T J Arnold, Esq |
| Sentence: | 3 months in prison, 3 years at Saltley |
| Where imprisoned: | - |
| Previous committals and convictions: | Larceny – 3 days in prison and whipping |
| Father's name: | - |
| Occupation | - |
| Residence: | - |
| Mother's name: | Helen Hollett |
| Occupation: | Needlewoman |
| Residence: | 67 St John's Street, Clerkenwell |
| Father's character: | Not known |
| Mother's character: | - |
| Parent's dead? | Father is |
| Survivor married again? | No |
| Parents' treatment of child | - |
| Character of parents: | - |
| Parents' wages: | - |
| Weekly amount parents will pay: | - |
| Superintendent of police (to collect payments): | - |
| Relatives to communicate with: | - |
| Person making this return: | W Arnold, Western Police Court, London |
| Estimate of character on admission | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
1 Feb 1858 name on Good Conduct List
15 April 1860 had possession of a half-sovereign, which Bentley says he found in the land, with the purpose of getting it changed unknown to me.
28 September 1860 returned to his mother
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