| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 30 Nov 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 18 Dec 1911 |
| If rejected, why? | |
| Birthplace as written | Mecklenburg, Schwerin, Germany |
| Modern country | Germany |
| Age on application | 67 |
| Age on arrival in Australia | 36 |
| Port of Departure | Germany |
| Port of Arrival | Wellington N.Z. |
| Date of arrival | 1 Sep 1870 |
| Name of ship | Halcona |
| Voyage | Halcona (1870-09-01) |
| Address in Australia | c/o Mrs Cripps, Glenbrook |
| Address State | New South Wales |
| Time at address |
| Previous address 2 | New Zealand |
| Address State | |
| Time at address | 10 years |
| Married | Widow | |
| Children | Yes | 3: 1 male and 2 females. |
| Name of reference | Arthur Judges |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |