| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1904 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 4 Sep 1904 |
| If rejected, why? | |
| Birthplace as written | Ellerbeck, Kiel, Germany |
| Modern country | Germany |
| Age on application | 30 |
| Age on arrival in Australia | 12 |
| Port of Departure | Kiel, Germany |
| Port of Arrival | Melbourne, Victoria |
| Date of arrival | 19 Oct 1886 |
| Name of ship | SS Hohenstaufen |
| Voyage | Hohenstaufen (1886-10-19) |
| Address in Australia | Zeehan |
| Address State | Tasmania |
| Time at address |
| Previous address 1 | Hobart |
| Address State | Tasmania |
| Time at address |
| Married | Yes | |
| Children | Yes | 6: three male, three female, living in Zeehan. |
| Name of reference | James Overall |
| Occupation of reference | Justice of the Peace (Tasmania) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |