| Occupation as written | Housekeeper duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 20 Jul 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Aug 1909 |
| If rejected, why? | |
| Birthplace as written | Bomst, Posen, Germany |
| Modern country | Germany |
| Age on application | 54 |
| Age on arrival in Australia | 14 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 1 Sep 1869 |
| Name of ship | Caesar Godefroh |
| Voyage | Caesar Godeffroy (1869-09-01) |
| Address in Australia | Barton Terrace, North Adelaide |
| Address State | South Australia |
| Time at address | 38 years |
| Previous address 1 | Hahendorf |
| Address State | South Australia |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 6: three male and three female - one in Fiji, 5 South Australia |
| Name of reference | William Pullin |
| 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 |