| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 5 Nov 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 3 Dec 1909 |
| If rejected, why? | |
| Birthplace as written | Bapitz near Cotbus, Prussia, Germany |
| Modern country | Germany |
| Age on application | 72 |
| Age on arrival in Australia | 23 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 24 Sep 1858 |
| Name of ship | Victoria |
| Voyage | Victoria (1858-10-01) |
| Address in Australia | Edithburgh |
| Address State | South Australia |
| Time at address | 6 years |
| Previous address 1 | Gilles Plains |
| Address State | South Australia |
| Time at address | 44 years |
| Married | Yes | |
| Children | Yes | 3: one son and two daughters - the son resides at Edithburgh, SA., and the daughters in Western Australia. |
| Name of reference | Matthias Grisham |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |