| Occupation as written | Farmer |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 9 Sep 1914 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 15 Oct 1914 |
| If rejected, why? | |
| Birthplace as written | Vanlinge, Fyn, Denmark |
| Modern country | Denmark |
| Age on application | 38 |
| Age on arrival in Australia | 36 |
| Port of Departure | Denmark |
| Port of Arrival | Melbourne |
| Date of arrival | 25 Mar 1912 |
| Name of ship | R M S Oskerley |
| Voyage | Oskerley (1912-03-25) |
| Address in Australia | Rochester |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 1 years |
| Married | Yes | |
| Children | Yes | 2: 1 boy 1 girl, both at home |
| Name of reference | William Gibson Hart |
| 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 |