| Occupation as written | Widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jul 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 30 Jul 1915 |
| If rejected, why? | |
| Birthplace as written | Jeeben, Prussia, Germany |
| Modern country | Germany |
| Age on application | 85 |
| Age on arrival in Australia | 20 |
| Port of Departure | Bremen |
| Port of Arrival | Port Adelaide |
| Date of arrival | 18 Nov 1849 |
| Name of ship | Pauline |
| Voyage | Pauline (1849-11-18) |
| Address in Australia | Tanunda |
| Address State | South Australia |
| Time at address |
| Married | Widow | |
| Children | Yes | 3 sons |
| Name of reference | John Walden |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | p.1 'female' |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | other |
| Other information | "I would like to mention that my client does not require the Certificate of Naturalization for pension purposes, as she is able to maintain herself." |