| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 7 Jul 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 31 Jul 1911 |
| If rejected, why? | |
| Birthplace as written | Loutinthal, Germany |
| Modern country | Germany |
| Age on application | 57 |
| Age on arrival in Australia | 12 |
| Port of Departure | Hanover |
| Port of Arrival | Port Adelaide |
| Date of arrival | 1 Jan 1846 |
| Name of ship | None |
| Address in Australia | 565 King St, Boulder |
| Address State | Western Australia |
| Time at address | 12 years |
| Married | Yes | |
| Children | Yes | 7: 4 boys and 3 girls, all Australia |
| Name of reference | Henry Glance |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |