| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 13 Mar 1912 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 2 Apr 1912 |
| If rejected, why? | |
| Birthplace as written | Molfetta, Bari, Italy |
| Modern country | Italy |
| Age on application | 33 |
| Age on arrival in Australia | 25 |
| Port of Departure | Italy |
| Port of Arrival | Adelaide |
| Date of arrival | 20 Oct 1904 |
| Name of ship | Oroya |
| Voyage | Oroya (1904-10-20) |
| Address in Australia | Bucknell Road, Glanville |
| Address State | South Australia |
| Time at address | 7 years, 5 months |
| Married | Yes | |
| Children | Yes | 5: three male and two females, all residing 'with us'. |
| Name of reference | Elijah Branford |
| 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 |