| Occupation as written | Housewife. maried woman |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 28 Aug 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Germany |
| Modern country | Germany |
| Age on application | 53 |
| Age on arrival in Australia | 21 |
| Port of Departure | De Grone, Maren Werder, Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 19 Jun 1878 |
| Name of ship | Edward |
| Voyage | Eduard (1878-06-17) |
| Address in Australia | Mount Gambier |
| Address State | South Australia |
| Time at address | 31 years |
| Married | Yes |
| Children | No |
| Name of reference | Eugen Johann Adolph Kiesslback |
| 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 |