| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 12 Nov 1909 |
| If rejected, why? | |
| Birthplace as written | Canton Bern, Switzerland |
| Modern country | Switzerland |
| Age on application | 45 |
| Age on arrival in Australia | 14 |
| Port of Departure | Switzerland |
| Port of Arrival | Adelaide |
| Date of arrival | 16 Jul 1880 |
| Name of ship | Garroinne |
| Voyage | Garonne (1880-08-09) |
| Address in Australia | 258 Hindley Street, Adelaide |
| Address State | South Australia |
| Time at address | 29 years |
| Married | Yes | |
| Children | Yes | 2: a boy and a girl. |
| Name of reference | Arthur Short |
| 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 |