| Occupation as written | married. laundress |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 20 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 2 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Routendorff, Bremen, Germany |
| Modern country | Germany |
| Age on application | 63 |
| Age on arrival in Australia | 23 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 4 Nov 1871 |
| Name of ship | Humbolt |
| Voyage | Humboldt (1870-11-07) |
| Address in Australia | Sandstone |
| Address State | Western Australia |
| Time at address | 6 years |
| Previous address 1 | Charters Towers |
| Address State | Queensland |
| Time at address | 26 years |
| Previous address 2 | Mt Magnet, Leansville, Boogardie |
| Address State | Western Australia |
| Time at address | 8 years |
| Married | Yes |
| Children | No |
| Name of reference | Hubert Edwin Whitfeld |
| 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 |