| Occupation as written | Domestic servant |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 6 Aug 1914 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 3 Sep 1914 |
| If rejected, why? | |
| Birthplace as written | not known, Germany |
| Modern country | Germany |
| Age on application | 36 |
| Age on arrival in Australia | 5 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | 'The Aealics', Marryatville |
| Address State | South Australia |
| Time at address | 21 years |
| Previous address 1 | Horsham |
| Address State | Victoria |
| Time at address | 8 years |
| Married | No |
| Children | No |
| Name of reference | Edson Thomas Smith |
| 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 |