| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 26 Jan 1912 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 1 Feb 1912 |
| If rejected, why? | |
| Birthplace as written | Litezig, Germany |
| Modern country | Germany |
| Age on application | 49 |
| Age on arrival in Australia | 15 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 6 Jul 1878 |
| Name of ship | Elizabeth |
| Voyage | Elizabeth (1878-06-15) |
| Address in Australia | Birks Street, Parkside |
| Address State | South Australia |
| Time at address | 6 months |
| Previous address 1 | Alberton |
| Address State | Victoria |
| Time at address | 2 years, 6 months |
| Previous address 2 | Adelaide |
| Address State | South Australia |
| Time at address | 30 years |
| Married | Widow | |
| Children | Yes | One female at Birkside, Parkside |
| Name of reference | Hugo Carl Emil Mucke |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |