| No. in Admissions Register: | 274 |
| Date of admission: | 24 April 1864 |
| Whence received: | Birmingham Gaol |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Fresh |
| Hair colour: | Dark brown |
| Eyes colour: | Grey |
| Perfect vision? | Yes |
| State of health: | Apparently good |
| Able-bodied? | Yes |
| Sound intellect? | Yes |
| Use of all limbs? | Yes |
| Had cow or small pox? | Cowpox |
| Particular marks: | Scar on left forehead |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | No |
| Subject to fits? | No |
| Age last birthday: | 12 |
| Illegitimate? | Not known |
| Birthday: | - |
| Birth place: | - |
| Has resided: | 3 Cotton Street, Birmingham |
| Parish he belongs to: | Birmingham |
| Customary work and mode of life: | Not known |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Imperfectly |
| Writes: | Not at all |
| Cyphers: | - |
| General ability: | - |
| Offence: | Stealing 1s 6d |
| Circumstances which may have led to it: | Being left without control. Parents both go out to work |
| Date of sentence: | 4 April 1864 |
| Where convicted: | Birmingham before T C S Kynnersley |
| Who prosecuted: | - |
| Where imprisoned: | - |
| Sentence: | 21 days, 5 years at Saltley |
| Previous committals and convictions: | - |
| Father's name: | Joseph Homer |
| Occupation: | Labourer |
| Residence: | 3 Cotton Street, Fazeley Street, Birmingham |
| Mother's name: | Elizabeth Homer |
| Occupation: | Washerwoman |
| Residence: | 3 Cotton Street, Fazeley Street, Birmingham |
| Father's character: | - |
| Mother's character: | - |
| Parents dead? | - |
| Survivor married again? | - |
| Parents' treatment of child: | - |
| Character of parents | - |
| Parents' wages: | 15s father; 6s mother |
| Amount parents agree to pay: | 1s 6d a week to be paid |
| Superintendent of police (to collect payments): | G Glossop |
| Relatives to communicate with: | - |
| Person making this return: | T C S Kynnersley |
| Estimate of character on admission: | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
23 April 1869 Discharged
January 1871 In Birmingham. Doing well
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January 1871 In Birmingham. Doing well