| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 15 Aug 1912 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Aug 1912 |
| If rejected, why? | |
| Birthplace as written | Kerzanhain, Germany |
| Modern country | Germany |
| Age on application | 60 |
| Age on arrival in Australia | 24 |
| Port of Departure | England |
| Port of Arrival | Adelaide |
| Date of arrival | 7 Jan 1876 |
| Name of ship | Robert Lee |
| Voyage | Robert Lee (1876-01-07) |
| Address in Australia | Fairford St. New Parkside |
| Address State | South Australia |
| Time at address | 3 months |
| Previous address 1 | Adelaide |
| Address State | South Australia |
| Time at address | 3 years |
| Previous address 2 | Goodwood |
| Address State | South Australia |
| Time at address | 33 years |
| Married | Widow | |
| Children | Yes | 4: 1 son, Broken Hill, 1 daughter NSW, 2 daughters S. Aus. |
| Name of reference | Joseph Narrid |
| 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 |