| Occupation as written | Married Woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 24 Jun 1912 |
| Application status | Approved |
| Official | PMcMG |
| Date of approval or denial | 26 Jun 1912 |
| If rejected, why? | |
| Birthplace as written | Tuchhase, Prussian, Germany |
| Modern country | Poland |
| Age on application | 59 |
| Age on arrival in Australia | 3 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 17 Aug 1856 |
| Name of ship | August |
| Voyage | August (1856-08-04) |
| Address in Australia | Kotanning |
| Address State | Western Australia |
| Time at address |
| Previous address 1 | Nurriootpa |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Oldbury |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 8: 4 boys and 4 girls all living with one home |
| Name of reference | William John Rogers |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |