| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Aug 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 2 Aug 1910 |
| If rejected, why? | |
| Birthplace as written | Altenplatow, Saxony, Germany |
| Modern country | Germany |
| Age on application | 65 |
| Age on arrival in Australia | 33 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 16 Jun 1878 |
| Name of ship | Edward |
| Voyage | Eduard (1878-06-17) |
| Address in Australia | Fitzmauna Street, Wagga Wagga |
| Address State | New South Wales |
| Time at address | 5 years |
| Previous address 1 | Freeling |
| Address State | South Australia |
| Time at address | 12 years |
| Previous address 2 | Port Germien |
| Address State | South Australia |
| Time at address | 12 years |
| Previous address 3 | Wagin |
| Address State | Western Australia |
| Time at address | 5 years |
| Married | Widow | |
| Children | Yes | 7: 4 males and 3 females |
| Name of reference | William Gilroy |
| Occupation of reference | Senior Constable of Police (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |