| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 12 Nov 1912 |
| If rejected, why? | |
| Birthplace as written | Marcan, Germany |
| Modern country | Germany |
| Age on application | 57 |
| Age on arrival in Australia | 22 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 18 Oct 1877 |
| Name of ship | Peter Godefro |
| Voyage | Peter Godefroy (1877-10-20) |
| Address in Australia | Adelaide |
| Address State | South Australia |
| Time at address | 16 years, 3 months |
| Previous address 1 | Kadina |
| Address State | South Australia |
| Time at address | 7 years |
| Previous address 2 | Hackney |
| Address State | South Australia |
| Time at address | 4 years, 6 months |
| Previous address 3 | Gawler, SA - 1 year Craddock, SA - 9 months. Parkside, SA - 2 years Woodside, SA - 9 months. Lowood, SA - 2 years. Kingston, SA - 9 months. . |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 6: one boy and five girls. |
| Name of reference | William Radford |
| Occupation of reference | Officer of Police, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |