| Occupation as written | house duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 24 Feb 1917 |
| Application status | Already a Subject |
| Official | FJQ |
| Date of approval or denial | 22 Mar 1917 |
| If rejected, why? | |
| Birthplace as written | Angermünde, Brandburg, Germany |
| Modern country | Germany |
| Age on application | 58 |
| Age on arrival in Australia | 21 |
| Port of Departure | Angermunde, Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 20 Aug 1880 |
| Name of ship | Orient |
| Voyage | Orient (1880-08-20) |
| Address in Australia | Halmdorf |
| Address State | South Australia |
| Time at address | 30 years |
| Previous address 1 | Semaphore |
| Address State | South Australia |
| Time at address | 7 years |
| Married | Widow |
| Children | No |
| Name of reference | Robert Gibson Burt |
| Occupation of reference | Police Officer, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |