| Occupation as written | Widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 12 Nov 1909 |
| If rejected, why? | |
| Birthplace as written | Warben, Cotbus, Germany |
| Modern country | Germany |
| Age on application | 76 |
| Age on arrival in Australia | 23 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 12 Feb 1857 |
| Name of ship | St Helena |
| Voyage | St Helena (1857-02-12) |
| Address in Australia | Lyndoch |
| Address State | South Australia |
| Time at address | 51 years |
| Previous address 1 | Klemzig, Adelaide |
| Address State | South Australia |
| Time at address | 1 years |
| Married | Widow | |
| Children | Yes | 7: four boys and three daughters. |
| Name of reference | Heinrich Hermann Schmader |
| Occupation of reference | Teacher of State School, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |