| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 22 Apr 1910 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 24 Apr 1910 |
| If rejected, why? | |
| Birthplace as written | Mecklenburgh, Germany |
| Modern country | Germany |
| Age on application | 65 |
| Age on arrival in Australia | 3 |
| Port of Departure | Melkenburgh, Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 17 Dec 1847 |
| Name of ship | Hermann von Beckerat |
| Voyage | Herman von Behrath (1847-12-16) |
| Address in Australia | Kenilworth Road, Parkside |
| Address State | South Australia |
| Time at address | 30 years |
| Previous address 1 | Lobethal |
| Address State | South Australia |
| Time at address | 6 years |
| Previous address 2 | Coromandel Valley |
| Address State | South Australia |
| Time at address | 9 years |
| Previous address 3 | Greenock |
| Address State | South Australia |
| Time at address | 18 years |
| Married | Yes | |
| Children | Yes | 3: son Parkside, son Glenelge, Daughter in West Australia |
| Name of reference | William Dring |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |