| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 10 Jul 1914 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 29 Jul 1914 |
| If rejected, why? | |
| Birthplace as written | Pachollen, Prussia, Germany |
| Modern country | Poland |
| Age on application | 20 |
| Age on arrival in Australia | 0 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 1 Jan 1884 |
| Name of ship | None |
| Address in Australia | Bexhill near Lismore |
| Address State | New South Wales |
| Time at address | 1 years, 8 months |
| Married | Yes | |
| Children | Yes | 4: two girls and two boys |
| Name of reference | William Thomas Brewer |
| Occupation of reference | State School teacher (New South Wales) |
| Marginalia description | 'German', p.1 |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
no ship name