| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 15 Jul 1914 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 12 Aug 1913 |
| If rejected, why? | |
| Birthplace as written | Danzig, Germany |
| Modern country | Poland |
| Age on application | 60 |
| Age on arrival in Australia | 25 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 7 Sep 1878 |
| Name of ship | Fredricksoff |
| Voyage | Fredericka (1878-09-07) |
| Address in Australia | c/o Mrs. H. Davis, Hampden Road, Five Dock |
| Address State | New South Wales |
| Time at address | 9 years |
| Previous address 1 | Yonsfelt |
| Address State | |
| Time at address | 2 years, 6 months |
| Previous address 2 | Balmain |
| Address State | New South Wales |
| Time at address | 2 years |
| Previous address 3 | Drummoyne |
| Address State | New South Wales |
| Time at address | 24 years |
| Married | Widow | |
| Children | Yes | 1 |
| Name of reference | Charles William Oldroyd |
| Occupation of reference | Postmaster, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |