| Occupation as written | Wife |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1906 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 14 Oct 1906 |
| If rejected, why? | |
| Birthplace as written | Bramstedt, Holstein, Germany |
| Modern country | Germany |
| Age on application | 40 |
| Age on arrival in Australia | 33 |
| Port of Departure | Germany |
| Port of Arrival | Freemantle |
| Date of arrival | 3 Oct 1898 |
| Name of ship | Prince Regent Luitpold |
| Voyage | Prinz Regent Luitpold (1898-10-03) |
| Address in Australia | Sewell Street, East Freemantle |
| Address State | Western Australia |
| Time at address | 7 years, 8 months |
| Married | Yes | |
| Children | Yes | One male. |
| Name of reference | Ronald T. Clackam |
| Occupation of reference | Justice of the Peace, Westerrn Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |