| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 5 Jul 1916 |
| Application status | Already a Subject |
| Official | LTF |
| Date of approval or denial | 15 Jul 1916 |
| If rejected, why? | |
| Birthplace as written | Berlin |
| Modern country | Germany |
| Age on application | 39 |
| Age on arrival in Australia | 2 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 24 May 1879 |
| Name of ship | Durham |
| Address in Australia | Prospect |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Goodwood |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Adelaide |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 2 daughters |
| Name of reference | John Lebornu |
| Occupation of reference | Justice of the Peace |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | NAA: A1, 1916/18551: Raupach, Gertrude Annie Elizabeth |
| Literate | Yes |
| Reason | N/A |
| Other information |