| Occupation as written | wife |
| Standardised occupation | XX00: Other - Other |
| Application received | 23 Jul 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 15 Aug 1912 |
| If rejected, why? | |
| Birthplace as written | Ballarat, Australia |
| Modern country | Australia |
| Age on application | 49 |
| Age on arrival in Australia | None |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | 122 Albert Street, Port Melbourne |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 2 sons at home |
| Name of reference | William George Norwood |
| Occupation of reference | Senior Constable of Police (Victoria) |
| Marginalia description | 'French by marriage' - p.6 |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
French husband