| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 28 Jun 1911 |
| If rejected, why? | |
| Birthplace as written | Kleinnackel, Prussia, Germany |
| Modern country | Poland |
| Age on application | 59 |
| Age on arrival in Australia | 22 |
| Port of Departure | Hamburg |
| Port of Arrival | Bowen |
| Date of arrival | 25 Jul 1873 |
| Name of ship | Herschel |
| Voyage | Herschel (1873-07-04) |
| Address in Australia | Walterston near Mackay |
| Address State | Queensland |
| Time at address | 37 years |
| Married | Widow | |
| Children | Yes | 5: 3 males and 2 females. 4 married. 2 sons live at home. |
| Name of reference | William Henry Kirkup |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |