| Occupation as written | Housekeeper |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 1 Oct 1915 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 27 Nov 1915 |
| If rejected, why? | |
| Birthplace as written | Peuser, Neuchalel, Switzerland |
| Modern country | Switzerland |
| Age on application | 47 |
| Age on arrival in Australia | 21 |
| Port of Departure | Marseilles |
| Port of Arrival | Port Melbourne |
| Date of arrival | 8 Nov 1889 |
| Name of ship | Yarra |
| Voyage | Yarra (1889-11-29) |
| Address in Australia | Leeton |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 1 son |
| Name of reference | William Taylor |
| Occupation of reference | Constable of Police |
| Marginalia description | Shorthand note p.1 'Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
Husband has "been away from me these last 12 years and I cannot say if he is naturalised or not". - seperated/deserted
describes nationality as 'French Swiss'