| Occupation as written | marrried woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 23 Sep 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 18 Nov 1911 |
| If rejected, why? | |
| Birthplace as written | Kerakow, Moravia, Austria |
| Modern country | Austria |
| Age on application | 43 |
| Age on arrival in Australia | 39 |
| Port of Departure | Austria |
| Port of Arrival | Fremantle |
| Date of arrival | 2 Mar 1906 |
| Name of ship | Bremen |
| Voyage | Bremen (1906-03-02) |
| Address in Australia | Hamilton Hill, South Fremantle |
| Address State | Western Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 2: 1 male and 1 female |
| Name of reference | Arthur A. Harmer |
| Occupation of reference | State School master, Western Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |