| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 8 Jun 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 2 Jul 1909 |
| If rejected, why? | |
| Birthplace as written | Sandford, Germany |
| Modern country | Germany |
| Age on application | 67 |
| Age on arrival in Australia | 24 |
| Port of Departure | Prussia |
| Port of Arrival | Brisbane |
| Date of arrival | 10 Feb 1866 |
| Name of ship | Sieira Godfro |
| Voyage | Sieira Godfroy (1866-02-10) |
| Address in Australia | Dalby |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Roma |
| Address State | Queensland |
| Time at address |
| Married | Widow | |
| Children | Yes | Nine children, four boys and five girls |
| Name of reference | liam Gottochalk |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |