| Occupation as written | House duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Apr 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 26 Apr 1911 |
| If rejected, why? | |
| Birthplace as written | Schwerin, Mecklenburg, Germany |
| Modern country | Germany |
| Age on application | 49 |
| Age on arrival in Australia | 47 |
| Port of Departure | Hamburg |
| Port of Arrival | Adelaide |
| Date of arrival | 3 Apr 1909 |
| Name of ship | Zettin |
| Voyage | Zieten (1909-04-04) |
| Address in Australia | Sheperton Street, Theraton |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 2 females |
| Name of reference | Ernest Leopold William Klaven |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |