| Occupation as written | farmer |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 23 Aug 1912 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 27 Aug 1912 |
| If rejected, why? | |
| Birthplace as written | Lauenburg, Olbe, Germany |
| Modern country | Germany |
| Age on application | 50 |
| Age on arrival in Australia | 46 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 7 Jan 1908 |
| Name of ship | SS Scharnhorst |
| Voyage | Scharnhorst (1908-01-07) |
| Address in Australia | Yangan |
| Address State | Queensland |
| Time at address | 4 years |
| Married | Widow | |
| Children | Yes | 4: 3 daughters and one son. 2 daughters in Germany and the other daughter and son with her |
| Name of reference | Hugo Burmester |
| 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 |