| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 17 Jul 1913 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 31 Jul 1913 |
| If rejected, why? | |
| Birthplace as written | Schlukenian, Bohemia, Austria |
| Modern country | Czechia |
| Age on application | 53 |
| Age on arrival in Australia | 29 |
| Port of Departure | Austria |
| Port of Arrival | Adelaide |
| Date of arrival | 25 Sep 1888 |
| Name of ship | Hohenstaufen |
| Voyage | Hohenstollern (1888-09-01) |
| Address in Australia | Fair View, Mount Compass |
| Address State | South Australia |
| Time at address | 10 years |
| Previous address 1 | Tanunda |
| Address State | South Australia |
| Time at address | 10 years |
| Previous address 2 | Broken Hill |
| Address State | New South Wales |
| Time at address | 4 years |
| Married | Yes | |
| Children | Yes | 6: 4 girls and 2 boys. two girls and one son at Adelaide. Rest at Mt. Compass |
| Name of reference | Matthew Goode |
| 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 |