| Occupation as written | Proprietess Coffee Palace |
| Standardised occupation | DE08: Dealing - Coffee |
| Application received | 6 Jul 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 13 Aug 1915 |
| If rejected, why? | |
| Birthplace as written | Melbourne, Victoria |
| Modern country | Australia |
| Age on application | 48 |
| Age on arrival in Australia | None |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | Coffee Palace, Maffra, Victoria |
| Address State | Victoria |
| Time at address |
| Married | Widow |
| Children | No |
| Name of reference | Edwin Albert Price |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
German husband (widow)