| Occupation as written | Housewife and Farmer |
| Standardised occupation | AG01: Agriculture - Farming/Land Service |
| Application received | 5 May 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 22 Jun 1915 |
| If rejected, why? | |
| Birthplace as written | Hope Valley, Australia |
| Modern country | Australia |
| Age on application | 67 |
| 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 | Lascelles |
| Address State | Victoria |
| Time at address |
| Married | Widow | |
| Children | Yes | 3 daughters |
| Name of reference | Robert Gulliver |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | Recently widowed |
| Other information |
Husband was German.