| Occupation as written | Housekeeper |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 11 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 18 Sep 1911 |
| If rejected, why? | |
| Birthplace as written | Saxony, Germany |
| Modern country | Germany |
| Age on application | 56 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 14 Dec 1870 |
| Name of ship | Berthoam |
| Voyage | Berthoam (1870-12-14) |
| Address in Australia | 126 Bconswick St., Valley |
| Address State | Queensland |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: 2 married girl and 1 young man |
| Name of reference | William Alexander Hearson |
| 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 |