| Occupation as written | Housekeeper |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 19 Dec 1913 |
| Application status | Unknown |
| Official | |
| Date of approval or denial | None |
| If rejected, why? | incomplete. Did not respond to husb nat. ? |
| Birthplace as written | Nalmay, Roumania |
| Modern country | Romania |
| Age on application | 24 |
| Age on arrival in Australia | 21 |
| Port of Departure | Romania |
| Port of Arrival | Fremantle |
| Date of arrival | 5 Dec 1910 |
| Name of ship | SS Lieten |
| Voyage | Lieten |
| Address in Australia | 18 Mongar Street, Perth |
| Address State | Western Australia |
| Time at address |
| Previous address 1 | Robinson Avenue, Lord Street, and 122 Buliver Street - Perth |
| Address State | Western Australia |
| Time at address |
| Married | Yes |
| Children | No |
| Name of reference | James Brebber |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |