| Occupation as written | housekeeper Boarding House |
| Standardised occupation | DE07: Dealing - Wines, Spirits and Hotels |
| Application received | 17 Dec 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 24 Dec 1913 |
| If rejected, why? | |
| Birthplace as written | Poland, Russia |
| Modern country | Poland |
| Age on application | 70 |
| Age on arrival in Australia | 42 |
| Port of Departure | London |
| Port of Arrival | Williamstown |
| Date of arrival | 1 Jan 1885 |
| Name of ship | SS Iberia |
| Voyage | Iberia (1885-02-08) |
| Address in Australia | 199 Cardigan St., Carlton |
| Address State | Victoria |
| Time at address | 26 years |
| Previous address 1 | Fitzroy |
| Address State | Victoria |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 1 |
| Name of reference | Michael Berman |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |