| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Sep 1914 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 19 Oct 1914 |
| If rejected, why? | |
| Birthplace as written | Rednit, Brandenburg, Germany |
| Modern country | Germany |
| Age on application | 58 |
| Age on arrival in Australia | 1 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 16 Sep 1914 |
| Name of ship | None |
| Address in Australia | Dimboola |
| Address State | Victoria |
| Time at address | 9 years |
| Previous address 1 | Angastown and Eden Valley |
| Address State | South Australia |
| Time at address | 27 years |
| Previous address 2 | Ni Ni |
| Address State | Victoria |
| Time at address | 21 years |
| Married | Yes | |
| Children | Yes | 4: 2 girls and 2 boys |
| Name of reference | Gustav Frans Wiedermann |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |