| Occupation as written | Farmer |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 16 Nov 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 17 Nov 1910 |
| If rejected, why? | |
| Birthplace as written | Paris, Seine, France |
| Modern country | France |
| Age on application | 55 |
| Age on arrival in Australia | 31 |
| Port of Departure | France |
| Port of Arrival | Sydney |
| Date of arrival | 1 Mar 1886 |
| Name of ship | Yarra |
| Voyage | Yarra (1886-03-01) |
| Address in Australia | Wetherill Park |
| Address State | New South Wales |
| Time at address | 6 years |
| Previous address 1 | Botany |
| Address State | New South Wales |
| Time at address | 6 months |
| Previous address 2 | St Peter. Sydney |
| Address State | New South Wales |
| Time at address | 1 years |
| Previous address 3 | Thornebush |
| Address State | New South Wales |
| Time at address | 17 years |
| Married | Yes | |
| Children | Yes | 4: 1 son and 3 daughters all in NSW |
| Name of reference | John Cowney |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |