| Occupation as written | I am an invalid now |
| Standardised occupation | XX00: Other - Other |
| Application received | 14 Nov 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 18 Nov 1912 |
| If rejected, why? | |
| Birthplace as written | Grunow, Prussia, Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 12 |
| Port of Departure | Hamburg |
| Port of Arrival | Brisbane |
| Date of arrival | 1 Oct 1863 |
| Name of ship | San Francisco |
| Voyage | San Francisco (1863-11-30) |
| Address in Australia | One Mile Estate, Ipswich c/o Police Station, Ipswich |
| Address State | Queensland |
| Time at address | 49 years |
| Married | No |
| Children | No |
| Name of reference | Edward John Gilmore |
| 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 |