| Occupation as written | ------- |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 19 Jul 1909 |
| If rejected, why? | |
| Birthplace as written | Nifo, Germany |
| Modern country | Germany |
| Age on application | 84 |
| Age on arrival in Australia | None |
| Port of Departure | Germany |
| Port of Arrival | Launceston, Tasmania |
| Date of arrival | None |
| Name of ship | Mort Morengia |
| Address in Australia | Beaconsfield |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Longford |
| Address State | Victoria |
| Time at address |
| Married | Widow |
| Children | No |
| Name of reference | Thomas Edward Woodman |
| Occupation of reference | Justice of the Peace (Tasmania) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |