| Occupation as written | House wife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 May 1915 |
| Application status | Already a Subject |
| Official | |
| Date of approval or denial | None |
| If rejected, why? | |
| Birthplace as written | Mohilef, Russia |
| Modern country | Belarus |
| Age on application | 37 |
| Age on arrival in Australia | 23 |
| Port of Departure | Russia |
| Port of Arrival | Port Melbourne |
| Date of arrival | 22 Nov 1901 |
| Name of ship | SS Neckar |
| Voyage | Neckar (1901-11-22) |
| Address in Australia | 77 Crockford St, Port Melbourne |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 1 son |
| Name of reference | William Watson |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | p.1 "Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |