| Occupation as written | domestic housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Feb 1917 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 19 Mar 1917 |
| If rejected, why? | |
| Birthplace as written | Laccio, Italy |
| Modern country | Italy |
| Age on application | 54 |
| Age on arrival in Australia | 14 |
| Port of Departure | Canada |
| Port of Arrival | Melbourne |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | 26 Nash Street, East Perth |
| Address State | Western Australia |
| Time at address | 20 years |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 12 years |
| Married | Widow | |
| Children | Yes | 5: 4 sons and 1 daughter, living in Perth, WA |
| Name of reference | James Corbett |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |
No details about ship