| Occupation as written | Domestic Servant |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 5 Jul 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 27 Jul 1911 |
| If rejected, why? | |
| Birthplace as written | Florence, Italy |
| Modern country | Italy |
| Age on application | 63 |
| Age on arrival in Australia | 44 |
| Port of Departure | New Zealand |
| Port of Arrival | Sydney |
| Date of arrival | 1 Apr 1892 |
| Name of ship | Wakatipa |
| Voyage | Wakatipa (1892-04-01) |
| Address in Australia | 163 Crown St. City |
| Address State | New South Wales |
| Time at address |
| Married | Widow | |
| Children | Yes | 2: boy and girl - son in London, England, and daughter in Sydney |
| Name of reference | Edwin W. Butler |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |