| Occupation as written | Shop Assistant |
| Standardised occupation | DE12: Dealing - General dealers |
| Application received | 16 Apr 1913 |
| Application status | Denied |
| Official | |
| Date of approval or denial | 18 Apr 1913 |
| If rejected, why? | "a native of Asia" |
| Birthplace as written | Assyria |
| Modern country | Lebanon |
| Age on application | 21 |
| Age on arrival in Australia | 16 |
| Port of Departure | Assyria |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Apr 1900 |
| Name of ship | None |
| Address in Australia | Shepparton |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Albany |
| Address State | New South Wales |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | George Adams |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | NAA: A1, 1913/5936: Nesire, Selina |
| Literate | Yes |
| Reason | N/A |
| Other information |