| Occupation as written | house duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 17 Mar 1911 |
| If rejected, why? | |
| Birthplace as written | Wolf, Rhine, Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 7 |
| Port of Departure | Germany |
| Port of Arrival | Sydney |
| Date of arrival | 12 Jul 1858 |
| Name of ship | Caesar Gottesfurcht |
| Voyage | Caesar Godeffroy (1858-01-01) |
| Address in Australia | Macquarie Street, Glen Ines |
| Address State | New South Wales |
| Time at address | 42 years |
| Previous address 1 | Grafton |
| Address State | New South Wales |
| Time at address | 12 years |
| Married | Widow | |
| Children | Yes | 9: 5 girls and 4 boys |
| Name of reference | John Priest |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |