| Occupation as written | State School Teacher |
| Standardised occupation | PP13: Public services and Professionals - Education |
| Application received | 26 Aug 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 20 Aug 1912 |
| If rejected, why? | |
| Birthplace as written | Odessa, Kherson Prov., Russia |
| Modern country | Ukraine |
| Age on application | 36 |
| Age on arrival in Australia | 12 |
| Port of Departure | Russia |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1888 |
| Name of ship | Nuremburg |
| Voyage | Nurnberg (1888-06-08) |
| Address in Australia | Piggoreet |
| Address State | Victoria |
| Time at address | 9 months |
| Previous address 1 | Geelong |
| Address State | Victoria |
| Time at address | 19 years |
| Previous address 2 | Homerton |
| Address State | Victoria |
| Time at address | 4 years |
| Married | No |
| Children | No |
| Name of reference | Alexander Kirk |
| Occupation of reference | Constable of Police (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |