| Occupation as written | Domestic |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 30 Sep 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 3 Oct 1910 |
| If rejected, why? | |
| Birthplace as written | Wurbemberg, Wurtemberg, Germany |
| Modern country | Germany |
| Age on application | 69 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Oct 1857 |
| Name of ship | Goboah |
| Voyage | Goboah (1857-10-01) |
| Address in Australia | Brucie Creek Settlement, Whittlesm |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Epping |
| Address State | Victoria |
| Time at address | 43 years |
| Married | Yes | |
| Children | Yes | 1 |
| Name of reference | Robert J. Hughes |
| 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 |