| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 14 Sep 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 5 Sep 1910 |
| If rejected, why? | |
| Birthplace as written | Grisel, Germany (native of Prussia) |
| Modern country | Germany |
| Age on application | 77 |
| Age on arrival in Australia | 24 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 27 Jan 1859 |
| Name of ship | Larschell |
| Voyage | Larschell (1859-01-27) |
| Address in Australia | Forbes |
| Address State | New South Wales |
| Time at address | 9 years |
| Previous address 1 | Broadfort |
| Address State | Victoria |
| Time at address | 14 months |
| Previous address 2 | Germanstown Geelong |
| Address State | Victoria |
| Time at address |
| Previous address 3 | Echuca |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 6, 4 sons and 2 daughters |
| Name of reference | Alfred John Balrock |
| 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 |