| Occupation as written | Married Woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 7 Dec 1915 |
| Application status | Denied |
| Official | LTF |
| Date of approval or denial | 9 Dec 1915 |
| If rejected, why? | German |
| Birthplace as written | Melsungen, Germany |
| Modern country | Germany |
| Age on application | 53 |
| Age on arrival in Australia | 21 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 10 Aug 1883 |
| Name of ship | Amalfi |
| Voyage | Amalfi (1883-08-10) |
| Address in Australia | Mount Gambier |
| Address State | South Australia |
| Time at address | 8 years |
| Previous address 1 | Woodside |
| Address State | Victoria |
| Time at address | 7 years |
| Previous address 2 | Mannum |
| Address State | South Australia |
| Time at address | 15 years |
| Previous address 3 | Woodside and Mount Gambier |
| Address State | South Australia |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 2 sons |
| Name of reference | James Ladd Heaver |
| 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 |
'Not proceeded with'