| Occupation as written | none |
| Standardised occupation | XX00: Other - Other |
| Application received | 10 Oct 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 19 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Germany |
| Modern country | Germany |
| Age on application | 52 |
| Age on arrival in Australia | 2 |
| Port of Departure | Germany |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | Logan Rd., Woollongabla |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Brisbane |
| Address State | Queensland |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | David Hunter |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |