| Occupation as written | Farming |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 15 Nov 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 16 Nov 1910 |
| If rejected, why? | |
| Birthplace as written | Riregen, Prussia, Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 1 |
| Port of Departure | Prussia |
| Port of Arrival | Adelaide |
| Date of arrival | 23 Nov 1850 |
| Name of ship | Wellemina |
| Voyage | Wellemina (1850-11-23) |
| Address in Australia | Woodend |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address |
| Previous address 2 | Castlemaine |
| Address State | Victoria |
| Time at address |
| Previous address 3 | Dalesford, New Zealand, Lambs Creek |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 7: 3 boys and 4 girls, 1 dead, 3 West Australia, 1 Tasmania, 2 Warbarton |
| Name of reference | Richard Cornish |
| 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 |