| Occupation as written | Widow, Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 2 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 31 Jan 1911 |
| If rejected, why? | |
| Birthplace as written | Clausthal, Germany |
| Modern country | Germany |
| Age on application | 69 |
| Age on arrival in Australia | 48 |
| Port of Departure | Bremen |
| Port of Arrival | Adelaide |
| Date of arrival | 30 Jun 1890 |
| Name of ship | Hohenstaufen |
| Voyage | Hohenstaufen (1890-09-25) |
| Address in Australia | Pell Street, Broken Hill |
| Address State | New South Wales |
| Time at address |
| Married | Widow | |
| Children | Yes | 1 male. resident in Broken Hill |
| Name of reference | Stephen McGann |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |