| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 24 Dec 1912 |
| Application status | Approved |
| Official | PMcMG |
| Date of approval or denial | 24 Dec 1912 |
| If rejected, why? | |
| Birthplace as written | Hamburg, North Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 19 |
| Port of Departure | Liverpool |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1870 |
| Name of ship | Dhuleep Singh |
| Voyage | Dhuleep Singh (1870-01-01) |
| Address in Australia | Webster Street, Bendigo |
| Address State | Victoria |
| Time at address | 40 years |
| Previous address 1 | Bright |
| Address State | Victoria |
| Time at address | 2 years |
| Married | Widow | |
| Children | Yes | 7: 5 sons and 2 daughters |
| Name of reference | James Henry Curnow |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |