| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Mar 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 20 Apr 1911 |
| If rejected, why? | |
| Birthplace as written | Not known, Germany |
| Modern country | Germany |
| Age on application | 43 |
| Age on arrival in Australia | 9 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 12 Jan 1877 |
| Name of ship | None |
| Address in Australia | Scotts Creek |
| Address State | Victoria |
| Time at address | 15 years |
| Previous address 1 | Woodside |
| Address State | Victoria |
| Time at address | 8 years |
| Previous address 2 | Warners |
| Address State | New South Wales |
| Time at address | 13 years |
| Previous address 3 | Darkie |
| Address State | New South Wales |
| Time at address | 3 years |
| Married | Yes | |
| Children | Yes | 5: Alfred Charles residing at Marcowie, and two males and two females residing at Scotts Bank. |
| Name of reference | William Nicholls |
| 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 |