| Occupation as written | Housekeeper |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 10 Oct 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 31 Oct 1913 |
| If rejected, why? | |
| Birthplace as written | Bradford, Yorkshire, England |
| Modern country | United Kingdom |
| Age on application | 40 |
| Age on arrival in Australia | 6 |
| Port of Departure | Yorkshire, England |
| Port of Arrival | Brisbane |
| Date of arrival | 1 Jan 1879 |
| Name of ship | Gauntlet |
| Voyage | Gauntlet (1879-01-01) |
| Address in Australia | Cochrane Street, Paddington |
| Address State | Queensland |
| Time at address | 6 years |
| Previous address 1 | Coopers Plains |
| Address State | Queensland |
| Time at address | 16 years |
| Previous address 2 | Ipswich Road, Brisbane |
| Address State | Queensland |
| Time at address | 10 years |
| Previous address 3 | Fairfield |
| Address State | New South Wales |
| Time at address | 5 years |
| Married | Widow | |
| Children | Yes | 2: girls at Cochran St w her |
| Name of reference | Patrick John Hanlon |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
p.4, German by marriage