| Occupation as written | No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 15 Jun 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 5 Jul 1916 |
| If rejected, why? | |
| Birthplace as written | Metz, France |
| Modern country | France |
| Age on application | 69 |
| Age on arrival in Australia | 62 |
| Port of Departure | New Caledonia |
| Port of Arrival | Brisbane |
| Date of arrival | 24 Sep 1908 |
| Name of ship | Mezzagesius |
| Voyage | Mezzagesius (1908-09-24) |
| Address in Australia | East Brunswick |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Brisbane |
| Address State | Queensland |
| Time at address |
| Married | Widow | |
| Children | Yes | 1 son |
| Name of reference | Charles Alfred Gopp |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |