| Occupation as written | Housewife |
| Standardised occupation | XX00: Other - Other |
| Application received | 3 Mar 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 6 Mar 1911 |
| If rejected, why? | |
| Birthplace as written | Rospiz, France |
| Modern country | France |
| Age on application | 77 |
| Age on arrival in Australia | 33 |
| Port of Departure | New Caledonia |
| Port of Arrival | Sydney |
| Date of arrival | 1 Feb 1867 |
| Name of ship | Summer Home |
| Voyage | Summer Home (1867-02-01) |
| Address in Australia | 19 Little Hay Street, Sydney |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 1 girl residing with her husband at Botany NSW |
| Name of reference | Percy Roland Dunn |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |