| Occupation as written | nil |
| Standardised occupation | XX00: Other - Other |
| Application received | 12 Jan 1912 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 21 Jan 1912 |
| If rejected, why? | |
| Birthplace as written | Dedlinberg, Germany |
| Modern country | Germany |
| Age on application | 62 |
| Age on arrival in Australia | 20 |
| Port of Departure | Hamburg |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1869 |
| Name of ship | None |
| Address in Australia | 52 John St. Brunswick |
| Address State | Victoria |
| Time at address | 36 years |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 3 years |
| Previous address 2 | Sandhurst |
| Address State | Victoria |
| Time at address | 22 years |
| Previous address 3 | Rochester (8 months), Uchica (12 months), Demliquin (9 yrs) |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 8: 3 males and 5 females - 4 dead |
| Name of reference | P R Tierney |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | 'Gerrman' p.1 |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |