| Occupation as written | Married woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 5 Feb 1912 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 6 Feb 1912 |
| If rejected, why? | |
| Birthplace as written | Wronka, Posen, Germany |
| Modern country | Poland |
| Age on application | 51 |
| Age on arrival in Australia | 11 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 29 Sep 1881 |
| Name of ship | SS Amalfi |
| Voyage | Amalfi (1881-09-29) |
| Address in Australia | Mannum |
| Address State | South Australia |
| Time at address | 27 years |
| Previous address 1 | Hahndorf |
| Address State | South Australia |
| Time at address | 3 years |
| Married | Yes | |
| Children | Yes | 8: four males and four females. |
| Name of reference | Friedrich E. Schutz |
| 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 |