| Occupation as written | No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 19 Jan 1904 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 6 Feb 1904 |
| If rejected, why? | |
| Birthplace as written | Frankfurt on the Main, Free State Frankfurt, Germany |
| Modern country | Germany |
| Age on application | 38 |
| Age on arrival in Australia | 6 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jun 1871 |
| Name of ship | Great Britain |
| Voyage | Great Britain (1871-06-01) |
| Address in Australia | Villa Frankfurt, Pleasant Street, Pascoe Vale, Coburg |
| Address State | Victoria |
| Time at address | 33 years |
| Married | No |
| Children | No |
| Name of reference | Albert E. Young |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | Note that she has applied for a passport. |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |