| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 29 Mar 1912 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 22 Jun 1912 |
| If rejected, why? | |
| Birthplace as written | Gumbinen, Germany |
| Modern country | Russia |
| Age on application | 70 |
| Age on arrival in Australia | 35 |
| Port of Departure | Hamburg |
| Port of Arrival | Port Adelaide |
| Date of arrival | 7 Jan 1912 |
| Name of ship | Beer Godeffrey |
| Voyage | Caesar Godeffroy (1877-01-06) |
| Address in Australia | Magill |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 3 |
| Name of reference | William Donald Cosgrove |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |