| Occupation as written | - |
| Standardised occupation | XX00: Other - Other |
| Application received | 15 Jul 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 15 Jul 1912 |
| If rejected, why? | |
| Birthplace as written | Kolomea, Galizia, Austria |
| Modern country | Ukraine |
| Age on application | 31 |
| Age on arrival in Australia | 28 |
| Port of Departure | India |
| Port of Arrival | None |
| Date of arrival | 2 Feb 1910 |
| Name of ship | RMS Osterly |
| Voyage | Osterley (1910-06-01) |
| Address in Australia | 22 Edward Street, Elsternwick, Melbourne |
| Address State | Victoria |
| Time at address |
| Married | Yes |
| Children | No |
| Name of reference | Patrick |
| Occupation of reference | Police Magistrate, Victoria |
| Marginalia description | p.1 'Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
She puts no occupation.