| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 21 Feb 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 27 Feb 1911 |
| If rejected, why? | |
| Birthplace as written | Martz Mountains, Munster, Germany |
| Modern country | Germany |
| Age on application | 64 |
| Age on arrival in Australia | 4 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 2 Jan 1857 |
| Name of ship | None |
| Address in Australia | 64 Plenty Road, South Preston, Melbourne |
| Address State | Victoria |
| Time at address | 22 years |
| Married | Widow | |
| Children | Yes | 7: 3 sons and 4 daughters. 2 daughters, 1 son West Australia. 2 daughters 1 son Victoria. 1 son NSW |
| Name of reference | William Braithwaite |
| 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 |