| Occupation as written | Householder |
| Standardised occupation | RE00: Rentier - Miscellaneous status |
| Application received | 25 Jun 1914 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 26 Jun 1914 |
| If rejected, why? | |
| Birthplace as written | Westlangen Horm, Dukedom, North Schlwig-Holstein |
| Modern country | Denmark |
| Age on application | 68 |
| Age on arrival in Australia | 30 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 12 May 1876 |
| Name of ship | None |
| Address in Australia | 19 Hornby St, Windsor (and other suburbs) |
| Address State | Victoria |
| Time at address | 9 years |
| Previous address 1 | Adelaide |
| Address State | South Australia |
| Time at address | 6 years |
| Married | Yes | |
| Children | Yes | 6: 3 male and 3 female. 3 dead. 1 St. Kilda. 2 Windsor. 2 South Yarra. 1 S. Australia. |
| Name of reference | Thomas Rae Gray |
| Occupation of reference | State School teacher, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
no ship listed