| Occupation as written | Housewife, widow |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 10 Jun 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 15 Jul 1909 |
| If rejected, why? | |
| Birthplace as written | Berlin, Prussia |
| Modern country | Germany |
| Age on application | 70 |
| Age on arrival in Australia | 24 |
| Port of Departure | Berlin, Prussia, Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Apr 1863 |
| Name of ship | Macassa |
| Voyage | Macassa (1863-04-01) |
| Address in Australia | Regent Street, Preston, Melbourne |
| Address State | Victoria |
| Time at address | 33 years |
| Previous address 1 | Geelong |
| Address State | Victoria |
| Time at address | 10 years |
| Previous address 2 | Rockhampton |
| Address State | Queensland |
| Time at address | 3 years |
| Married | Widow | |
| Children | Yes | Two males |
| Name of reference | Daviel John Lizars |
| Occupation of reference | Constable of Police, Preston, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |