| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 3 Nov 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 8 Nov 1911 |
| If rejected, why? | |
| Birthplace as written | Popelken, Konigsburg, Germany |
| Modern country | Russia |
| Age on application | 61 |
| Age on arrival in Australia | 26 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1876 |
| Name of ship | None |
| Address in Australia | Brisbane |
| Address State | Queensland |
| Time at address | 23 years |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 12 years |
| Married | Widow | |
| Children | Yes | 3: 1 son in Brisbane (she lives with him) and one at Kelvin Grove and one at Perth |
| Name of reference | Rudolf Neuve |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |