| Occupation as written | Hotel Proprietress |
| Standardised occupation | DE07: Dealing - Wines, Spirits and Hotels |
| Application received | 1 Feb 1912 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 1 Feb 1912 |
| If rejected, why? | |
| Birthplace as written | Tesserow, Mecklenburg, Schwerin, Germany |
| Modern country | Germany |
| Age on application | 61 |
| Age on arrival in Australia | 34 |
| Port of Departure | Saltzgitter, Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 26 Oct 1884 |
| Name of ship | SS Hohenzollern |
| Voyage | Hohenstollern (1884-10-26) |
| Address in Australia | Sedan |
| Address State | South Australia |
| Time at address | 6 months |
| Previous address 1 | Waterfall Gulley |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Sedan |
| Address State | South Australia |
| Time at address | 21 years, 6 months |
| Married | Widow | |
| Children | Yes | 3: one son and two daughters. |
| Name of reference | Heinrich Adolph Zadow |
| 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 |