| Occupation as written | Domestic |
| Standardised occupation | DS03: Domestic service - Other service |
| Application received | 1 Sep 1911 |
| Application status |
Approved |
| Official | JAM |
| Date of approval or denial | 11 Sep 1911 |
| If rejected, why? | |
| Birthplace as written | Brooklyn, New York, America |
| Modern country | United States of America |
| Age on application | 55 |
| Age on arrival in Australia | 22 |
| Port of Departure | Liverpool, England |
| Port of Arrival | Williamstown |
| Date of arrival | 1 Jan 1878 |
| Name of ship | City of Melbourne |
| Voyage | City of Melbourne (1878-01-01) |