| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 10 Sep 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 18 Oct 1909 |
| If rejected, why? | |
| Birthplace as written | Neudoerffee, Brandenburg, Germany |
| Modern country | Germany |
| Age on application | 56 |
| Age on arrival in Australia | 4 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 17 Sep 1857 |
| Name of ship | Peter Godeffroy |
| Voyage | Peter Godefroy (1857-09-17) |
| Address in Australia | Mount Torrens |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Hahndorf |
| Address State | South Australia |
| Time at address | 67 years |
| Married | No |
| Children | No |
| Name of reference | J. Ramsey Thomson |
| 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 |