| Occupation as written | Nil (Washing and scrubbing last occupation) |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 8 Sep 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Friedeburg, Germany |
| Modern country | Germany |
| Age on application | 66 |
| Age on arrival in Australia | 27 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane, Queensland |
| Date of arrival | 7 Nov 1870 |
| Name of ship | Humboldt |
| Voyage | Humboldt (1870-11-07) |
| Address in Australia | Ipswich |
| Address State | Queensland |
| Time at address | 39 years |
| Married | Widow | |
| Children | Yes | 5: two daughters and three sons, one at Brisbane and others Ipswich. |
| Name of reference | Jacob Barn |
| 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 |