| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 30 May 1913 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 12 Jun 1913 |
| If rejected, why? | |
| Birthplace as written | Lasdehnen, Pilhallen, Germany |
| Modern country | Poland |
| Age on application | 38 |
| Age on arrival in Australia | 36 |
| Port of Departure | Germany |
| Port of Arrival | Brisbane |
| Date of arrival | 30 Jun 1910 |
| Name of ship | SS Osterley |
| Voyage | Osterley (1910-06-01) |
| Address in Australia | Mt Larcon |
| Address State | Queensland |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 3 boys |
| Name of reference | Joseph Henry Cummings |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |