| Occupation as written | House Wife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 14 Oct 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 12 Nov 1909 |
| If rejected, why? | |
| Birthplace as written | Epstein, Germany |
| Modern country | Germany |
| Age on application | 67 |
| Age on arrival in Australia | 29 |
| Port of Departure | Germany |
| Port of Arrival | Rockhampton, Queensland |
| Date of arrival | 1 Oct 1872 |
| Name of ship | Shakespeare |
| Voyage | Shakespeare (1872-10-01) |
| Address in Australia | Mittagong |
| Address State | New South Wales |
| Time at address | 25 years |
| Previous address 1 | Berrima |
| Address State | New South Wales |
| Time at address | 2 years |
| Previous address 2 | West Maitland |
| Address State | New South Wales |
| Time at address | 3 years |
| Previous address 3 | Springsure |
| Address State | Queensland |
| Time at address | 7 years |
| Married | Yes | |
| Children | Yes | 4: two males and two females - Mittagong, Grenfell, Croydon, Hornbush |
| Name of reference | George Paradis |
| Occupation of reference | State School Teacher, Mittagong, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |