| Occupation as written | 'Crippled' |
| Standardised occupation | XX00: Other - Other |
| Application received | 28 Jun 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 28 Jun 1910 |
| If rejected, why? | |
| Birthplace as written | Loch Ammd Ritzhaim, Germany |
| Modern country | Germany |
| Age on application | 77 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Sydney |
| Date of arrival | 24 Jul 1849 |
| Name of ship | Pahlant |
| Voyage | Pahlant (1849-07-24) |
| Address in Australia | 3 Mary Place, Paddington, Sydney |
| Address State | New South Wales |
| Time at address | 16 years |
| Previous address 1 | Bathurst District, 4 yrs Young DIstrict, 3 yrs Cowra DIstrict, 2 yrs Carcoar District, 16 yrs Rohery DIstrict, 3 yrs Parkes district, 14 yrs |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 16: 8 males and 8 females |
| Name of reference | Charles Campbell |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |