| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 8 May 1912 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 20 May 1912 |
| If rejected, why? | |
| Birthplace as written | Commororrerharland, Germany |
| Modern country | Germany |
| Age on application | 59 |
| Age on arrival in Australia | 31 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 28 Jun 1884 |
| Name of ship | Tormena |
| Voyage | Toormina (1884-06-28) |
| Address in Australia | Dadswells Bridge, Glenorchy |
| Address State | Victoria |
| Time at address | 26 years |
| Previous address 1 | Murtoa |
| Address State | Victoria |
| Time at address | 2 years |
| Married | Widow | |
| Children | Yes | 1 son |
| Name of reference | William Howard Kueen |
| Occupation of reference | State School Teacher, Victoria |
| Marginalia description | p.1 'Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |