| No. in Admissions Register: | 262 |
| Date of admission: | 29 September 1863 |
| Whence received: | Stafford Prison |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | - |
| Hair colour: | Sandy |
| 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? | Cowpox |
| Particular marks: | Bruise mark on left thigh |
| Cutaneous disorder? | Pimples |
| Scrofulous or consumptive? | No |
| Subject to fits? | No |
| Age last birthday: | 15 |
| Illegitimate? | Not |
| Birthday: | - |
| Birth place: | - |
| Has resided: | West Bromwich, near Birmingham |
| Parish he belongs to: | - |
| Customary work and mode of life: | Cotton turn |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Fairly |
| Writes: | Fairly |
| Cyphers: | - |
| General ability: | - |
| Offence: | Being idle and disorderly |
| Circumstances which may have led to it: | - |
| Date of sentence: | 29 August 1863 |
| Where convicted: | West Bromwich Petty Sessions |
| Who prosecuted: | - |
| Where imprisoned: | - |
| Sentence: | 1 month prison, 5 years at Saltley |
| Previous committals and convictions: | - |
| Father's name: | - |
| Occupation: | - |
| Residence: | - |
| Mother's name: | - |
| Occupation: | - |
| Residence: | - |
| Father's character: | - |
| Mother's character: | - |
| Parents dead? | Both |
| 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: | - |
18 March 1864 Wrote a letter to his Dear Parents and addressed it to Mr James Brindle, Hulme Street, Little Bolton, Lancashire, signing his name Alfred Brindle
22 June 1865 Emigrated to Canada
January 1868 Unknown
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