| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 10 Sep 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 21 Oct 1909 |
| If rejected, why? | |
| Birthplace as written | Winzerhausen, Wurtemberg, Germany |
| Modern country | Germany |
| Age on application | 63 |
| Age on arrival in Australia | 9 |
| Port of Departure | Winzerhausen, Germany |
| Port of Arrival | Launceston, Tasmania |
| Date of arrival | 20 Mar 1855 |
| Name of ship | Montmorency |
| Voyage | Montmorency |
| Address in Australia | Young Town, near Launceston |
| Address State | Tasmania |
| Time at address | 51 years |
| Previous address 1 | Chudleigh |
| Address State | Tasmania |
| Time at address | 3 years |
| Married | Yes | |
| Children | Yes | 10: six sons and four daughters |
| Name of reference | Charles Henry Harris |
| Occupation of reference | Police Constable, Tasmania |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |