| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Feb 1909 |
| If rejected, why? | |
| Birthplace as written | Kreitz Konitz, West Prussia, Germany |
| Modern country | Poland |
| Age on application | 68 |
| Age on arrival in Australia | 32 |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | 1 Sep 1873 |
| Name of ship | Freiderburg |
| Voyage | Frideburg (1870-08-01) |
| Address in Australia | Gowrie Little Plain |
| Address State | Queensland |
| Time at address | 23 years |
| Previous address 1 | Toowoomba |
| Address State | Queensland |
| Time at address | 2 years |
| Married | Widow | |
| Children | Yes | 8: three boys and five girls, all living in Australia and married with children. |
| Name of reference | Joseph Troy |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |