| Occupation as written | housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 19 Mar 1912 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 23 Mar 1912 |
| If rejected, why? | |
| Birthplace as written | Chipperva Falls, Wisconsin, the United States of America |
| Modern country | United States of America |
| Age on application | 38 |
| Age on arrival in Australia | 28 |
| Port of Departure | United States of America |
| Port of Arrival | Larjes Bay |
| Date of arrival | 13 Oct 1901 |
| Name of ship | Rhein |
| Voyage | Rhein (1901-10-13) |
| Address in Australia | Tanunda |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: 2 females in same town, 1 male at college at Adelaide |
| Name of reference | Friedrick Goddfrey rnest Appell |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |