| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 25 Aug 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Neu Schlesien, Germany |
| Modern country | Poland |
| Age on application | 67 |
| Age on arrival in Australia | 16 |
| Port of Departure | Germany |
| Port of Arrival | Port Adelaide |
| Date of arrival | 5 Dec 1857 |
| Name of ship | Fredericka |
| Voyage | Fredericka (1857-12-05) |
| Address in Australia | Lymdock |
| Address State | South Australia |
| Time at address | 52 years |
| Married | Yes | |
| Children | Yes | 9: seven males and two females |
| 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 |