| Occupation as written | Dressmaker |
| Standardised occupation | MF23: Manufacturing - Dress |
| Application received | 25 Sep 1914 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 23 Nov 1914 |
| If rejected, why? | |
| Birthplace as written | Antwerp, Belgium (Flemish) |
| Modern country | Belgium |
| Age on application | 34 |
| Age on arrival in Australia | 31 |
| Port of Departure | London |
| Port of Arrival | Melbourne |
| Date of arrival | 17 Apr 1911 |
| Name of ship | Gothic |
| Voyage | Gothic (1911-04-17) |
| Address in Australia | 196 Leceister St, Carlton |
| Address State | Victoria |
| Time at address | 2 years, 6 months |
| Married | No |
| Children | No |
| Name of reference | Violet J. Lee |
| Occupation of reference | State School teacher, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |