| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 7 Oct 1912 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 29 Oct 1912 |
| If rejected, why? | |
| Birthplace as written | Haarlem, Holland, near Amsterdam |
| Modern country | Netherlands |
| Age on application | 65 |
| Age on arrival in Australia | 40 |
| Port of Departure | London |
| Port of Arrival | Sydney |
| Date of arrival | 15 May 1887 |
| Name of ship | SS Necker (or Decker) |
| Voyage | Neckar (1887-05-16) |
| Address in Australia | 89 Regent St, Sydney |
| Address State | New South Wales |
| Time at address | 25 years |
| Married | Yes | |
| Children | Yes | 7 sons |
| Name of reference | John Carty |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |