| Occupation as written | Lady Companion |
| Standardised occupation | DS03: Domestic service - Other service |
| Application received | 27 Feb 1917 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 28 Feb 1917 |
| If rejected, why? | |
| Birthplace as written | Moscow, Russia |
| Modern country | Russia |
| Age on application | 21 |
| Age on arrival in Australia | 19 |
| Port of Departure | England |
| Port of Arrival | Albany, W Australia |
| Date of arrival | 22 Oct 1914 |
| Name of ship | SS Ceramic |
| Voyage | Ceramic (1914-10-22) |
| Address in Australia | 'Burnt Oak', Currency Creek |
| Address State | South Australia |
| Time at address | 2 months |
| Previous address 1 | Broome |
| Address State | Western Australia |
| Time at address | 9 months |
| Previous address 2 | Riverton |
| Address State | South Australia |
| Time at address | 1 years |
| Married | No |
| Children | No |
| Name of reference | Mary Alice Baldwin |
| Occupation of reference | State School Teacher, South Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |