| Occupation as written | None |
| Standardised occupation | XX00: Other - Other |
| Application received | 16 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 17 Jan 1911 |
| If rejected, why? | |
| Birthplace as written | Frankfort on Maine, Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 5 |
| Port of Departure | Antwerp |
| Port of Arrival | Sydney |
| Date of arrival | 1 Mar 1850 |
| Name of ship | None |
| Address in Australia | 12 Rupert Street, Collingwood |
| Address State | Victoria |
| Time at address | 42 years |
| Previous address 1 | Newcastle |
| Address State | New South Wales |
| Time at address | 9 years |
| Previous address 2 | Sydney |
| Address State | New South Wales |
| Time at address |
| Married | Widow | |
| Children | Yes | 8: three boys and five girls - one boy in WA, one in SA, and one in Africa. Five daughters in Victoria. |
| Name of reference | John Long |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
No occupation given.