| No. in Admissions Register: | 504 |
| Age: | 14 |
| Whence received: | Birmingham |
| Description: | |
| Complexion: | - |
| Hair colour: | - |
| Eyes colour: | - |
| Visage: | - |
| Particular marks: | - |
| State of health: | - |
| Able-bodied? | - |
| Date of admission and term: | 28 March 1874 5 years |
| Late residence: | In lodgings at Mrs Tomkins, Deritend Locks |
| Parish he belongs to: | Birmingham |
| Customary work and mode of life: | Boat boy on canal |
| Whether illegitimate: | - |
| State of education: | |
| Reads: | Not at all |
| Writes: | Not at all |
| Offence: | Gambling in the street |
| Circumstances which may have led to it: | Bad company |
| Date of sentence, by who and court: | 16 March 1874, Birmingham Police Court, T C S Kynnersley |
| Where imprisoned: | Birmingham |
| Sentence: | 14 days prison (hard labour), 5 years at Saltley |
| Previous committals: | |
| Number: | One |
| Length: | 21 days |
| For what: | Vagrancy |
| Father's name: | John Roach (father in law) [stepfather] |
| Occupation: | Fire iron maker |
| Mother's name: | Emma Roach |
| Occupation: | - |
| Parents dead? | Own father |
| Survivor married again? | Yes |
| Parents' treatment of child: | Says he was ill-treated |
| Character of parents | Stepfather drunken; mother steady and industrious |
| Parents' wages: | 20s per week |
| Amount parents agree to pay: | Not stated |
| Parents address: | 4 Ring o' Bells Yard, Milk Street |
| Superintendent of police (to collect payments): | - |
| Person making this return: | - |
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