| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1917 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 5 Apr 1917 |
| If rejected, why? | |
| Birthplace as written | Moruya, New South Wales |
| Modern country | Australia |
| Age on application | 55 |
| 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 | Jersey Street, Turramurra |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 2: 1 son and 1 daughter |
| Name of reference | Waller William Rochford |
| 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 |