| Occupation as written | Hotel keeper |
| Standardised occupation | DE07: Dealing - Wines, Spirits and Hotels |
| Application received | 1 Jan 1904 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Jan 1904 |
| If rejected, why? | |
| Birthplace as written | Marienburg, Holstein, Germany |
| Modern country | Germany |
| Age on application | 48 |
| Age on arrival in Australia | 32 |
| Port of Departure | Marensburg, Germany |
| Port of Arrival | Melbourne, Victoria |
| Date of arrival | 3 Nov 1888 |
| Name of ship | Brelersma |
| Voyage | Brebislew (1888-11-03) |
| Address in Australia | Albury |
| Address State | New South Wales |
| Time at address | 15 years |
| Married | Widow | |
| Children | Yes | 2: one boy and one girl living at Albury, New South Wales. |
| Name of reference | Thomas Affleck |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |