| Occupation as written | household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 21 Jun 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 27 Jun 1912 |
| If rejected, why? | |
| Birthplace as written | Magdeburg, Germany |
| Modern country | Germany |
| Age on application | 71 |
| Age on arrival in Australia | 14 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Feb 1855 |
| Name of ship | None |
| Address in Australia | Simson Street, Carisbrook |
| Address State | Victoria |
| Time at address | 20 years |
| Previous address 1 | Talbot |
| Address State | Victoria |
| Time at address | 25 years |
| Previous address 2 | Castlemaine |
| Address State | Victoria |
| Time at address | 2 years |
| Married | Widow |
| Children | No |
| Name of reference | Henry Colley Clarkson |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |