| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Mar 1913 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 14 Apr 1913 |
| If rejected, why? | |
| Birthplace as written | Vilno, Litauer-Poland |
| Modern country | Lithuania |
| Age on application | 31 |
| Age on arrival in Australia | 29 |
| Port of Departure | Vladivostock |
| Port of Arrival | Brisbane |
| Date of arrival | 13 Nov 1910 |
| Name of ship | Nikko Maru |
| Voyage | Nikko Maru (1910-11-13) |
| Address in Australia | Wallumbilla, Chinchilla |
| Address State | Queensland |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 3 sons |
| Name of reference | Harold Holmes |
| Occupation of reference | State School Teacher, Queensland |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
"Russian Pole"