| Occupation as written | House Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 20 Aug 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 31 Aug 1911 |
| If rejected, why? | |
| Birthplace as written | Planen, Germany |
| Modern country | Germany |
| Age on application | 43 |
| Age on arrival in Australia | 10 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 1 Jan 1877 |
| Name of ship | Hashel |
| Voyage | Haschel (1877-03-01) |
| Address in Australia | Yunta |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Naracorte, Mt Gambia, and Adelaide |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: 3 girls, 1 at Birkenhead and 2 at Yunta |
| Name of reference | Thomas Elliot Yelland |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |