| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 8 Sep 1914 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 9 Oct 1914 |
| If rejected, why? | |
| Birthplace as written | Rouen, Seine-inferieure, France |
| Modern country | France |
| Age on application | 60 |
| Age on arrival in Australia | 30 |
| Port of Departure | France |
| Port of Arrival | Sydney |
| Date of arrival | 18 May 1884 |
| Name of ship | Bossuet |
| Voyage | Bossuet (1884-05-18) |
| Address in Australia | 45 Balmain Road, Leichhardt, Sydney |
| Address State | New South Wales |
| Time at address |
| Married | Widow | |
| Children | Yes | 1 male and 1 female |
| Name of reference | Sidgewick Fletcher |
| 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 |