| Occupation as written | nil (previously sewing) |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 18 Jan 1909 |
| If rejected, why? | |
| Birthplace as written | Tilsit, Preussen, Germany |
| Modern country | Russia |
| Age on application | 67 |
| Age on arrival in Australia | 43 |
| Port of Departure | Germany |
| Port of Arrival | None |
| Date of arrival | 8 Jan 1884 |
| Name of ship | Waronga |
| Voyage | Waroonga (1884-12-03) |
| Address in Australia | Victor Street, Holland Park, Brisbane |
| Address State | Queensland |
| Time at address | 17 years |
| Previous address 1 | Southport |
| Address State | Queensland |
| Time at address | 7 years |
| Married | Widow | |
| Children | Yes | 1 daughter living in Brisbane |
| Name of reference | August Ferdinand Wegener |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |