| Occupation as written | Housekeeper |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 14 Jul 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 16 Aug 1916 |
| If rejected, why? | |
| Birthplace as written | Sydney, Australia |
| Modern country | Australia |
| Age on application | 45 |
| 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 | 555 Harris St Sydney |
| Address State | New South Wales |
| Time at address | 45 years |
| Married | Widow | |
| Children | Yes | 1 daughter |
| Name of reference | Thomas Henry Dangar |
| 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 |