| Occupation as written | Shopkeeper |
| Standardised occupation | DE12: Dealing - General dealers |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 21 Mar 1911 |
| If rejected, why? | |
| Birthplace as written | Erpah, near Frankfort, Germany |
| Modern country | Germany |
| Age on application | 69 |
| Age on arrival in Australia | 7 |
| Port of Departure | Germany |
| Port of Arrival | Hobart |
| Date of arrival | 8 Aug 1855 |
| Name of ship | America |
| Voyage | America (1855-01-01) |
| Address in Australia | 28 Church Street, North Richmond |
| Address State | Victoria |
| Time at address | 40 years |
| Previous address 1 | Hobart |
| Address State | Tasmania |
| Time at address | 2 years |
| Previous address 2 | St Mary's near Impal |
| Address State | |
| Time at address | 2 years |
| Previous address 3 | Collingwood |
| Address State | Victoria |
| Time at address | 3 years |
| Married | No |
| Children | No |
| Name of reference | John Richards |
| Occupation of reference | Constable of Police (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |