| Occupation as written | Married Woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 11 May 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 11 May 1911 |
| If rejected, why? | |
| Birthplace as written | Brethard, Wattenburg, Germany |
| Modern country | Germany |
| Age on application | 52 |
| Age on arrival in Australia | 33 |
| Port of Departure | Brethach, Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jun 1892 |
| Name of ship | Hohenstaufen |
| Voyage | Hohenstaufen (1892-06-01) |
| Address in Australia | Tharanbegga |
| Address State | Victoria |
| Time at address | 14 years |
| Previous address 1 | Albury |
| Address State | New South Wales |
| Time at address | 5 years |
| Married | Yes | |
| Children | Yes | 2 females |
| Name of reference | Albert Edward Brook |
| Occupation of reference | Police Constable, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |