| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Sep 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Belyard, Germany |
| Modern country | Germany |
| Age on application | 67 |
| Age on arrival in Australia | 28 |
| Port of Departure | Germany |
| Port of Arrival | Hobart Town, Tasmania |
| Date of arrival | 28 Aug 1870 |
| Name of ship | Victoria |
| Voyage | Victoria (1870-08-28) |
| Address in Australia | St Mary's Sydney |
| Address State | New South Wales |
| Time at address | 35 years |
| Previous address 1 | New Zealand |
| Address State | |
| Time at address | 2 years |
| Previous address 2 | Hobart |
| Address State | Tasmania |
| Time at address | 2 years |
| Married | Yes |
| Children | No |
| Name of reference | Thomas Charles Crawfprd |
| Occupation of reference | Police Constable, St Mary's Tasmania |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |