| Occupation as written | No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 10 Dec 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 13 Jan 1910 |
| If rejected, why? | |
| Birthplace as written | Gulde, Hanover state, Germany |
| Modern country | Germany |
| Age on application | 71 |
| Age on arrival in Australia | 20 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 6 Nov 1858 |
| Name of ship | Morning Star |
| Voyage | Morning Star (1858-11-06) |
| Address in Australia | 116 Punt Road, Windsor, Melbourne |
| Address State | Victoria |
| Time at address | 15 years |
| Previous address 1 | Germany (from 1874-1888) |
| Address State | |
| Time at address | 14 years |
| Previous address 2 | South Australia (returned from Germany in 1888) |
| Address State | South Australia |
| Time at address | 6 years |
| Previous address 3 | Melbourne |
| Address State | Victoria |
| Time at address | 16 years |
| Married | No |
| Children | No |
| Name of reference | Roger Lane |
| Occupation of reference | Police Constable, Windsor, Melbourne, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |