| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Aug 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 4 Aug 1911 |
| If rejected, why? | |
| Birthplace as written | Hamburg, Germany |
| Modern country | Germany |
| Age on application | 63 |
| Age on arrival in Australia | 26 |
| Port of Departure | Hamburg, Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1852 |
| Name of ship | None |
| Address in Australia | 51 Thomas Street Windsor |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Ballarat |
| Address State | Victoria |
| Time at address | 37 years |
| Previous address 2 | Beaufort |
| Address State | Victoria |
| Time at address | 11 years |
| Previous address 3 | NZ, 22 years, Heidelberg 2 yrs, Prahran VIctoria, 21 years |
| Address State | |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | William Davies |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |