| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 13 Feb 1912 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 20 Feb 1912 |
| If rejected, why? | |
| Birthplace as written | Züllichan, Germany |
| Modern country | Poland |
| Age on application | 66 |
| Age on arrival in Australia | 28 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 10 Dec 1874 |
| Name of ship | Helena |
| Voyage | Helene (1874-12-10) |
| Address in Australia | Gawler c/o H Schulz, Gawler Hills |
| Address State | South Australia |
| Time at address | 7 years |
| Previous address 1 | Augastou |
| Address State | South Australia |
| Time at address | 3 years |
| Previous address 2 | Ango Park (3 yrs), Stockwell (2 yrs), Roshade (2 yrs), Boshnow Centre (1 yr), Appile Gessonie? |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 6: 3 girls and 3 boys |
| Name of reference | George Branson |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |