| Occupation as written | No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1907 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 31 Oct 1907 |
| If rejected, why? | |
| Birthplace as written | Ruttel, Oldenberg, Germany |
| Modern country | Germany |
| Age on application | 36 |
| Age on arrival in Australia | 6 |
| Port of Departure | Ruttel, Oldenburg, Germany |
| Port of Arrival | Adelaide, South Australia |
| Date of arrival | 1 Nov 1877 |
| Name of ship | Peter Godefroh |
| Voyage | Peter Godefroy (1877-10-20) |
| Address in Australia | 34 Short Street, Perth |
| Address State | Western Australia |
| Time at address |
| Previous address 1 | Menzies |
| Address State | Western Australia |
| Time at address |
| Previous address 2 | Coolgardie |
| Address State | Western Australia |
| Time at address |
| Previous address 3 | Adelaide, South Australia Endunda, South Australia |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | One daughter, living with her at 34 Short Street, Perth. |
| Name of reference | Jesse A. Birch |
| Occupation of reference | Teacher of State School, Adelaide, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |