| Occupation as written | None |
| Standardised occupation | XX00: Other - Other |
| Application received | 12 Jan 1912 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 16 Jan 1912 |
| If rejected, why? | |
| Birthplace as written | Epermay, France, Marne |
| Modern country | France |
| Age on application | 46 |
| Age on arrival in Australia | 8 |
| Port of Departure | London |
| Port of Arrival | Port Adelaide |
| Date of arrival | 15 Apr 1874 |
| Name of ship | Sattera |
| Voyage | Sattera (1874-04-15) |
| Address in Australia | West Mitcham |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Brompton |
| Address State | South Australia |
| Time at address |
| Married | Yes |
| Children | No |
| Name of reference | Henry Drumell |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |