| Occupation as written | Wife |
| Standardised occupation | XX00: Other - Other |
| Application received | 2 Oct 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 6 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Molfetta, Italy |
| Modern country | Italy |
| Age on application | 38 |
| Age on arrival in Australia | 34 |
| Port of Departure | Italy |
| Port of Arrival | Adelaide |
| Date of arrival | 9 Feb 1907 |
| Name of ship | Bremen |
| Voyage | Bremen (1907-03-04) |
| Address in Australia | Castle Street, Glanville |
| Address State | South Australia |
| Time at address | 4 years |
| Married | Yes | |
| Children | Yes | One daughter |
| Name of reference | Elijah Branfield |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |