| Occupation as written | Domestic |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Apr 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 19 Apr 1911 |
| If rejected, why? | |
| Birthplace as written | Brannsberg, Prussia, Germany |
| Modern country | Germany |
| Age on application | 58 |
| Age on arrival in Australia | 31 |
| Port of Departure | Hamburg |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1884 |
| Name of ship | SS Preussen |
| Voyage | Preussen (1884-01-01) |
| Address in Australia | 102 Clauscien Street, Fitzroy |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Collingwood |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: two daughters and one son, at Fitzroy |
| Name of reference | William White |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |