| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Aug 1914 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 14 Sep 1914 |
| If rejected, why? | |
| Birthplace as written | Waldenburgh, Silisia, Germany |
| Modern country | Poland |
| Age on application | 27 |
| Age on arrival in Australia | 11 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Feb 1898 |
| Name of ship | Barbarossa |
| Voyage | Barbarossa (1898-02-01) |
| Address in Australia | 195 Victoria Parade, Fitzroy |
| Address State | Victoria |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | Aaron S. Danks |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | p.4, next to German has been written (Pole) |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |