| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 6 May 1911 |
| If rejected, why? | |
| Birthplace as written | Selina, Italy |
| Modern country | Italy |
| Age on application | 32 |
| Age on arrival in Australia | 22 |
| Port of Departure | Italy |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | Orazaba |
| Voyage | Orizaba (1901-01-02) |
| Address in Australia | Vincent Street, Daylsford |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 4: 3 sons and 1 daughter, living with parents |
| Name of reference | Constable Humphrey Osborne |
| Occupation of reference | Constable of Police (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |