| Occupation as written | Household duties for children |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 26 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Nassau, Germany |
| Modern country | Germany |
| Age on application | 68 |
| Age on arrival in Australia | 3 |
| Port of Departure | Nassau, Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 1 Jan 1846 |
| Name of ship | None |
| Address in Australia | Ayr |
| Address State | Queensland |
| Time at address | 4 years |
| Previous address 1 | Charters Towers |
| Address State | Queensland |
| Time at address | 7 years |
| Previous address 2 | Clifton |
| Address State | Queensland |
| Time at address | 34 years |
| Previous address 3 | Brisbane |
| Address State | Queensland |
| Time at address | 14 years |
| Married | Widow | |
| Children | Yes | 10: one at Allerton, one at Greenmont, three at Clifton, one at ... 4 at Ayr. |
| Name of reference | John Lealy |
| 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 |