| Occupation as written | Farmer |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 25 Nov 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 13 Jan 1910 |
| If rejected, why? | |
| Birthplace as written | Kershkow, Germany |
| Modern country | Germany |
| Age on application | 55 |
| Age on arrival in Australia | 24 |
| Port of Departure | Prusor, Pommern, Prussia |
| Port of Arrival | Brisbane |
| Date of arrival | 15 Oct 1878 |
| Name of ship | Friedaburg |
| Voyage | Frideburg (1878-11-19) |
| Address in Australia | Lower Freestone, near Warwick |
| Address State | Queensland |
| Time at address | 20 years |
| Previous address 1 | Sandy Creek, Warwick |
| Address State | Queensland |
| Time at address | 11 years |
| Married | Widow | |
| Children | Yes | 7: four boys and three girls, residing near Warwick, Queensland. |
| Name of reference | Frederick Thomas Trimble |
| 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 |