| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 20 Oct 1911 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 30 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Hamburg, Germany |
| Modern country | Germany |
| Age on application | 26 |
| Age on arrival in Australia | 2 |
| Port of Departure | Germany |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | West End, Townsville |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Marburg, Ipswich, Brisbane |
| Address State | Queensland |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | Charles Reginald Sideman |
| 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 |