| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1908 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 19 Nov 1908 |
| If rejected, why? | |
| Birthplace as written | Altona near Hamburg, Holstein, Germany |
| Modern country | Germany |
| Age on application | 37 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Cookstown |
| Date of arrival | 10 Dec 1897 |
| Name of ship | Roma |
| Voyage | Rome (1897-12-10) |
| Address in Australia | Maylands |
| Address State | Western Australia |
| Time at address | 5 years |
| Previous address 1 | Perth |
| Address State | Western Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 3 females |
| Name of reference | Samuel John Dawe |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |