| Occupation as written | None |
| Standardised occupation | XX00: Other - Other |
| Application received | 7 Apr 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 23 Apr 1913 |
| If rejected, why? | |
| Birthplace as written | Leitestad |
| Modern country | Germany |
| Age on application | 60 |
| Age on arrival in Australia | 36 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Nov 1889 |
| Name of ship | Elby |
| Voyage | Elbe (1889-12-14) |
| Address in Australia | Burt Street Cottesloe |
| Address State | Western Australia |
| Time at address | 21 years |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 3 years |
| Married | Widow | |
| Children | Yes | 5: 4 sons |
| Name of reference | William Lymm |
| Occupation of reference | Police Constable, Western Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |