| Occupation as written | Cook |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 24 Apr 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 29 Apr 1911 |
| If rejected, why? | |
| Birthplace as written | Scheidevietz, Saxony, Germany |
| Modern country | Germany |
| Age on application | 38 |
| Age on arrival in Australia | 6 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 13 Dec 1878 |
| Name of ship | Friedeburg |
| Voyage | Frideburg (1878-11-19) |
| Address in Australia | Toowoomba |
| Address State | Queensland |
| Time at address | 32 years, 4 months |
| Previous address 1 | Taroom |
| Address State | Queensland |
| Time at address | 2 years |
| Previous address 2 | Brisbane |
| Address State | Queensland |
| Time at address | 8 years |
| Married | No |
| Children | No |
| Name of reference | Harry Hopkins |
| 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 |