| Occupation as written | Household Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 30 May 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 1 Jun 1911 |
| If rejected, why? | |
| Birthplace as written | Germany |
| Modern country | Germany |
| Age on application | 58 |
| Age on arrival in Australia | 3 |
| Port of Departure | None |
| Port of Arrival | Adelaide |
| Date of arrival | 7 Nov 1855 |
| Name of ship | None |
| Address in Australia | Albury |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 4 girls, 5 boys |
| Name of reference | John Francis Malony |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |