| Occupation as written | wife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 3 Mar 1913 |
| Application status | Approved |
| Official | EC |
| Date of approval or denial | 26 Mar 1913 |
| If rejected, why? | |
| Birthplace as written | Arsehe, Lignitz, Germany |
| Modern country | Poland |
| Age on application | 58 |
| Age on arrival in Australia | 17 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 18 Oct 1871 |
| Name of ship | Helena |
| Voyage | Helene (1871-10-18) |
| Address in Australia | Jean Street, Elgin |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Wilmington |
| Address State | South Australia |
| Time at address | 22 years |
| Previous address 2 | Mannum |
| Address State | South Australia |
| Time at address | 8 years |
| Previous address 3 | Light-Pass |
| Address State | South Australia |
| Time at address | 11 years |
| Married | Yes | |
| Children | Yes | 10: 4 boys, 6 girls |
| Name of reference | Anthony George Edson |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | Pension |
| Other information | Ernestine to DEA, 17 Feb 1913, p.11: needs the pension 'as I am in very poor circumstances and oblidge' |