| Occupation as written | House wife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 13 Dec 1912 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 13 May 1913 |
| If rejected, why? | |
| Birthplace as written | Carrow, Magdeburg, Germany |
| Modern country | Germany |
| Age on application | 40 |
| Age on arrival in Australia | 8 |
| Port of Departure | Hamburg |
| Port of Arrival | Port Adelaide |
| Date of arrival | 1 Nov 1880 |
| Name of ship | SS Kasilda |
| Voyage | Kasilda (1880-11-01) |
| Address in Australia | Dutton |
| Address State | South Australia |
| Time at address | 32 years |
| Married | Yes | |
| Children | Yes | 3: 2 boys, 1 girl: living with her |
| Name of reference | George Hammond Walder |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | NAA: A1, 1913/6754: Modistach, Johanne Louisa |
| Literate | Yes |
| Reason | N/A |
| Other information |