| Occupation as written | Lady |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 5 Sep 1911 |
| If rejected, why? | |
| Birthplace as written | Dassow, Mecklenburg, Germany |
| Modern country | Germany |
| Age on application | 69 |
| Age on arrival in Australia | 7 |
| Port of Departure | Hamburg |
| Port of Arrival | Adelaide |
| Date of arrival | 25 Dec 1857 |
| Name of ship | Herman von Backerath |
| Voyage | Herman von Behrath (1857-12-25) |
| Address in Australia | 117 Hoddle Street, Richmond, Victoria |
| Address State | Victoria |
| Time at address | 2 years |
| Previous address 1 | Port Adelaide |
| Address State | South Australia |
| Time at address | 60 years |
| Married | Widow | |
| Children | Yes | 1: a daughter, residing with her. |
| Name of reference | John Lang |
| 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 |