| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 28 Jul 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 15 Aug 1913 |
| If rejected, why? | |
| Birthplace as written | Castleloriza Island, Greece |
| Modern country | Greece |
| Age on application | 74 |
| Age on arrival in Australia | 66 |
| Port of Departure | Greece |
| Port of Arrival | Fremantle |
| Date of arrival | 24 Nov 1904 |
| Name of ship | SS Orient |
| Voyage | Orient (1904-11-24) |
| Address in Australia | The Silver Grille, Forrest Street, Perth |
| Address State | Western Australia |
| Time at address | 6 years |
| Previous address 1 | Midland Junction |
| Address State | Western Australia |
| Time at address | 3 years |
| Married | Widow | |
| Children | Yes | 1 daughter |
| Name of reference | Richard Hand |
| Occupation of reference | Teacher of the State School (West Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |