| Occupation as written | House wife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 29 Sep 1913 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 30 Sep 1913 |
| If rejected, why? | |
| Birthplace as written | San Clemente, te Peralte, Spain |
| Modern country | Spain |
| Age on application | 33 |
| Age on arrival in Australia | 27 |
| Port of Departure | Spain |
| Port of Arrival | Fremantle |
| Date of arrival | 20 Aug 1907 |
| Name of ship | Suidlitz |
| Voyage | Seydlitz (1907-08-20) |
| Address in Australia | Busselton |
| Address State | Western Australia |
| Time at address | 4 years |
| Previous address 1 | Bridgetown |
| Address State | Western Australia |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 4: 3 boys and 1 girl |
| Name of reference | Joseph William Barmann |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |