| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 21 Oct 1909 |
| If rejected, why? | |
| Birthplace as written | Posen, Germany |
| Modern country | Germany |
| Age on application | 65 |
| Age on arrival in Australia | 12 |
| Port of Departure | Hamburg |
| Port of Arrival | Adelaide |
| Date of arrival | 1 Jan 1856 |
| Name of ship | None |
| Address in Australia | 147 Margaret Street, North Adelaide |
| Address State | South Australia |
| Time at address | 35 years |
| Previous address 1 | North Adelaide |
| Address State | South Australia |
| Time at address | 18 years |
| Married | Widow | |
| Children | Yes | Six sons |
| Name of reference | James Philip Wilson |
| 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 |