| Occupation as written | Housekeeper |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 28 Aug 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 30 Aug 1912 |
| If rejected, why? | |
| Birthplace as written | Zirks, Birnbaum, Posen [Germany] |
| Modern country | Poland |
| Age on application | 61 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 24 Aug 1866 |
| Name of ship | Sophie |
| Voyage | Sophie (1866-08-24) |
| Address in Australia | Temora |
| Address State | New South Wales |
| Time at address | 7 years |
| Married | No |
| Children | No |
| Name of reference | John Arthur Bradley |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |