| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 11 Apr 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 19 Apr 1912 |
| If rejected, why? | |
| Birthplace as written | Niebusch, Kingdom of Prussia, Germany |
| Modern country | Poland |
| Age on application | 56 |
| Age on arrival in Australia | 6 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 6 Oct 1862 |
| Name of ship | San Francisco |
| Voyage | San Francisco (1862-10-06) |
| Address in Australia | Tanunda |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Bethany |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Nuriootpa |
| Address State | South Australia |
| Time at address |
| Previous address 3 | Point Pass |
| Address State | South Australia |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | William Hegog |
| Occupation of reference | Officer of Police, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |