| Occupation as written | char woman |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 1 Jul 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 7 Jul 1911 |
| If rejected, why? | |
| Birthplace as written | Naples, Italy |
| Modern country | Italy |
| Age on application | 62 |
| Age on arrival in Australia | 51 |
| Port of Departure | Naples |
| Port of Arrival | Melbourne |
| Date of arrival | 23 Nov 1899 |
| Name of ship | Omrah |
| Voyage | Omrah (1899-11-23) |
| Address in Australia | 9 Cumberland Plan off L. Londale St. |
| Address State | Victoria |
| Time at address |
| Married | Widow | |
| Children | Yes | 4 |
| Name of reference | John William Madin |
| Occupation of reference | Police Constable, Victoria |
| Marginalia description | 'female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |