| Occupation as written | None |
| Standardised occupation | XX00: Other - Other |
| Application received | 18 Dec 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 13 Oct 1910 |
| If rejected, why? | |
| Birthplace as written | Osnabruck, Hanover, Germany |
| Modern country | Germany |
| Age on application | 72 |
| Age on arrival in Australia | 55 |
| Port of Departure | Hanover |
| Port of Arrival | Adelaide |
| Date of arrival | 4 Aug 1892 |
| Name of ship | SS Salier |
| Voyage | Salier (1892-08-04) |
| Address in Australia | 43 Carr Street, West Perth |
| Address State | Western Australia |
| Time at address | 3 years |
| Previous address 1 | Adelaide |
| Address State | South Australia |
| Time at address | 14 years |
| Married | Widow | |
| Children | Yes | 3: two sons and a daughter: one son in Adelaide, one son in Perth, and a daughter in Germany. |
| Name of reference | Walter Simpson |
| Occupation of reference | Justice of the Peace, Westerrn Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |