| Occupation as written | House Hold duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 31 Mar 1910 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 1 Apr 1910 |
| If rejected, why? | |
| Birthplace as written | Mackelnburg, Town Dömitz, Germany |
| Modern country | Germany |
| Age on application | 65 |
| Age on arrival in Australia | 4 |
| Port of Departure | Bremin |
| Port of Arrival | Adelaide |
| Date of arrival | 1 Aug 1848 |
| Name of ship | name of ship forgotten |
| Address in Australia | Birkenhead |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Port Pirie |
| Address State | South Australia |
| Time at address |
| Married | Widow | |
| Children | Yes | 7. 3 boys and 4 girls. 3 boys in Birkenhead, 2 girls in Franken Harbour, 1 in Port Pirie, 1 at Port Tumby |
| Name of reference | Michael Thomas Quirky |
| 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 |