| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 7 Aug 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 9 Sep 1909 |
| If rejected, why? | |
| Birthplace as written | Zurich, Vaud, Switzerland |
| Modern country | Switzerland |
| Age on application | 48 |
| Age on arrival in Australia | 18 |
| Port of Departure | Zurich, Switzerland |
| Port of Arrival | Port Adelaide |
| Date of arrival | 1 Jul 1880 |
| Name of ship | Lygura |
| Voyage | Lygura (1880-07-01) |
| Address in Australia | Waterfall Folly |
| Address State | South Australia |
| Time at address | 3 years |
| Previous address 1 | Crafers |
| Address State | South Australia |
| Time at address | 2 years |
| Previous address 2 | Adelaide |
| Address State | South Australia |
| Time at address | 7 years |
| Previous address 3 | Atherstone, Victoria, 11 years. Saddleworth, South Australia, 6 years |
| Address State | |
| Time at address |
| Married | Yes | |
| Children | Yes | 7: two boys and five girls - one girl in Switzerland, the others 'here'. |
| Name of reference | J. Jones |
| 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 |