| Occupation as written | wife |
| Standardised occupation | XX00: Other - Other |
| Application received | 2 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 5 Sep 1911 |
| If rejected, why? | |
| Birthplace as written | Loumberg, Germany |
| Modern country | Poland |
| Age on application | 57 |
| Age on arrival in Australia | 24 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 7 Nov 1878 |
| Name of ship | Nutscow |
| Voyage | Nutscow (1878-11-07) |
| Address in Australia | Wheaton Road St Peters |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 5: 3 girls and 2 boys |
| Name of reference | Walter Brown |
| 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 |