| Occupation as written | Dressmaker |
| Standardised occupation | MF23: Manufacturing - Dress |
| Application received | 8 Jul 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 8 Jul 1910 |
| If rejected, why? | |
| Birthplace as written | Kleininz, Selisia, Germany |
| Modern country | Poland |
| Age on application | 63 |
| Age on arrival in Australia | 7 |
| Port of Departure | Hamburg, Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 11 Nov 1854 |
| Name of ship | Steinwarder |
| Voyage | Steinwärder (1854-01-01) |
| Address in Australia | Waterloo |
| Address State | South Australia |
| Time at address | 20 years |
| Previous address 1 | Tanunda |
| Address State | South Australia |
| Time at address | 18 years |
| Previous address 2 | Steelton |
| Address State | South Australia |
| Time at address | 6 years |
| Previous address 3 | Saddleworth |
| Address State | South Australia |
| Time at address | 6 years |
| Married | Widow | |
| Children | Yes | 4, 3 males and 1 daughter. |
| Name of reference | Edwin Fletcher Denton |
| 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 |