| Occupation as written | None |
| Standardised occupation | XX00: Other - Other |
| Application received | 15 Aug 1911 |
| Application status | Denied |
| Official | FJQ |
| Date of approval or denial | 17 Aug 1911 |
| If rejected, why? | 'native of Damascus' |
| Birthplace as written | Damascus |
| Modern country | Syria |
| Age on application | 26 |
| Age on arrival in Australia | 16 |
| Port of Departure | Port Said |
| Port of Arrival | Melbourne |
| Date of arrival | 23 Nov 1900 |
| Name of ship | Friedrick der Grosse |
| Voyage | Friedrich der Grosse (1900-01-19) |
| Address in Australia | 105 High St., Northcote |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address |
| Previous address 2 | Rowleth River |
| Address State | |
| Time at address |
| Married | Yes | |
| Children | Yes | 4: 3 boys and 1 girl living with her |
| Name of reference | Edward Bailey |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |