| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 9 Dec 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 11 Dec 1911 |
| If rejected, why? | |
| Birthplace as written | Clausthal, Germany |
| Modern country | Germany |
| Age on application | 67 |
| Age on arrival in Australia | 5 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 7 Mar 1849 |
| Name of ship | George Washington |
| Voyage | George Washington (1849-03-07) |
| Address in Australia | 227 Flinders Street Adelaide |
| Address State | South Australia |
| Time at address | 47 years |
| Previous address 1 | Burra |
| Address State | South Australia |
| Time at address | 5 years |
| Previous address 2 | Wallaroo |
| Address State | South Australia |
| Time at address | 5 years |
| Previous address 3 | Mt Gambier |
| Address State | South Australia |
| Time at address | 5 years |
| Married | Yes | |
| Children | Yes | 8: 3 girls and 5 boys |
| Name of reference | Richard Parfull |
| 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 |