| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 31 Aug 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Cossar, Prussia, Germany |
| Modern country | Germany |
| Age on application | 74 |
| Age on arrival in Australia | 23 |
| Port of Departure | Hamburg |
| Port of Arrival | Port Adelaide |
| Date of arrival | 28 Sep 1858 |
| Name of ship | Susannah |
| Voyage | Susannah (1858-09-28) |
| Address in Australia | Bagot Wells |
| Address State | South Australia |
| Time at address |
| Previous address 1 | Eudunda |
| Address State | South Australia |
| Time at address |
| Married | Widow | |
| Children | Yes | 9: four males and five females. |
| Name of reference | Christian Heinrich Lehmann |
| 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 |