| Occupation as written | widow. No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 29 Jul 1909 |
| If rejected, why? | |
| Birthplace as written | Audocasberg, Hanover, Germany |
| Modern country | Germany |
| Age on application | 69 |
| Age on arrival in Australia | 11 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 1 Dec 1851 |
| Name of ship | Peter Godefroy |
| Voyage | Peter Godefroy (1851-12-01) |
| Address in Australia | Fisher Terrace, Mile End, Adelaide |
| Address State | South Australia |
| Time at address | 23 years |
| Previous address 1 | Murray |
| Address State | South Australia |
| Time at address | 4 years |
| Previous address 2 | Balall |
| Address State | |
| Time at address | 2 years |
| Previous address 3 | Freeling, South Australia - 13 years Kensington, New South Wales - 14 years |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 3: 2 sons, 1 daughter |
| Name of reference | Mr Alivine Fischer |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |