| Occupation as written | Domestic servant |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 27 May 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 11 Jun 1912 |
| If rejected, why? | |
| Birthplace as written | Kappeln, Schleswig Holstein, Germany |
| Modern country | Germany |
| Age on application | 49 |
| Age on arrival in Australia | 20 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 20 Jun 1883 |
| Name of ship | Procida |
| Voyage | Proceda (1883-05-15) |
| Address in Australia | "Cheviot Ville", Dunmore Street, Bexley |
| Address State | New South Wales |
| Time at address | 27 years, 6 months |
| Previous address 1 | Adelaide |
| Address State | South Australia |
| Time at address | 1 years, 6 months |
| Married | Widow | |
| Children | Yes | Two boys and two girls, all residing in NSW |
| Name of reference | William Sotherton Gowan |
| Occupation of reference | Postal Detective, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |