| Occupation as written | Housekeeper |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 25 Jun 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 16 Sep 1916 |
| If rejected, why? | |
| Birthplace as written | Fremantle, Western Australia |
| Modern country | Australia |
| Age on application | 32 |
| Age on arrival in Australia | None |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | Beaufort Station |
| Address State | Western Australia |
| Time at address | 6 months |
| Previous address 1 | Perth |
| Address State | Western Australia |
| Time at address | 32 years |
| Married | Yes | |
| Children | Yes | 2 daughters |
| Name of reference | John Joseph Walsh |
| Occupation of reference | Instructor of Detectives, Western Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |