| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 20 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 25 Sep 1911 |
| If rejected, why? | |
| Birthplace as written | Saxony, Germany |
| Modern country | Germany |
| Age on application | 62 |
| Age on arrival in Australia | 29 |
| Port of Departure | Saxony |
| Port of Arrival | Adelaide |
| Date of arrival | 13 Jun 1878 |
| Name of ship | Elizabeth |
| Voyage | Elizabeth (1878-06-15) |
| Address in Australia | Majill, c/o Mrs O'Connelll, East Parade, Kensington |
| Address State | South Australia |
| Time at address |
| Previous address 1 | North Adelaide |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Payneham |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 4: 2 males and 2 females. 1 broken hill. 1 W.A. 2 S Australia. |
| Name of reference | George Frederick Steinthat |
| 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 |