| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 14 Aug 1914 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | None |
| If rejected, why? | |
| Birthplace as written | Berlin, Germany |
| Modern country | Germany |
| Age on application | 40 |
| Age on arrival in Australia | 36 |
| Port of Departure | Germany |
| Port of Arrival | Sydney |
| Date of arrival | 17 Dec 1909 |
| Name of ship | Frederick der Grosse |
| Voyage | Friedrich der Grosse (1909-02-07) |
| Address in Australia | Croydon |
| Address State | New South Wales |
| Time at address | 1 years, 7 months |
| Previous address 1 | 22 Victoria Street, Lewisham |
| Address State | New South Wales |
| Time at address | 1 years |
| Previous address 2 | Bardwell, Sydney |
| Address State | New South Wales |
| Time at address | 2 years |
| Married | No |
| Children | No |
| Name of reference | John Percival Ivess |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | p.1 'Ger' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |