| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Jul 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Aug 1909 |
| If rejected, why? | |
| Birthplace as written | Maggia, Maggia County, Switzerland |
| Modern country | Switzerland |
| Age on application | 72 |
| Age on arrival in Australia | 32 |
| Port of Departure | Switzerland |
| Port of Arrival | Melbourne |
| Date of arrival | 19 Aug 1869 |
| Name of ship | Alberina |
| Voyage | Alberina (1869-01-19) |
| Address in Australia | Sailors Hill, Daylesford |
| Address State | Victoria |
| Time at address | 40 years |
| Married | Widow | |
| Children | Yes | 5: Three boys and two girls |
| Name of reference | John Egan |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |