Supplicant: <Titel 'Dr. med.'> Jakob Horstius (Horst)
| Title | Dr. med. |
| Function | Berufe, wissenschaftliche (uncertain, inferred) |
| Place of origin | Helmstedt (inferred) |
| Authority | Braunschweig-Wolfenbüttel, Herzogtum (uncertain, inferred) |
| Proceedings: | Pfründe, Bitte um kaiserliche Präsentation |