| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Sep 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 18 Oct 1909 |
| If rejected, why? | |
| Birthplace as written | Bisihofwerder, Germany |
| Modern country | Germany |
| Age on application | 66 |
| Age on arrival in Australia | 30 |
| Port of Departure | Hamburg |
| Port of Arrival | Maryborough |
| Date of arrival | 6 Nov 1873 |
| Name of ship | Humboldt |
| Voyage | Humboldt (1873-06-19) |
| Address in Australia | Chatsworth Road, Gympie |
| Address State | Queensland |
| Time at address | 3 years |
| Previous address 1 | Cooran |
| Address State | Queensland |
| Time at address | 11 years |
| Previous address 2 | Bundaberg |
| Address State | Queensland |
| Time at address |
| Previous address 3 | Maryborough |
| Address State | Queensland |
| Time at address | 9 years |
| Married | Yes | |
| Children | Yes | 2: Harry Philipofski, address unknown, and Adolph Philipofski, Childers, Queensland. |
| Name of reference | Alfred Scorwen |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |