| Occupation as written | Widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 18 May 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 19 Jun 1916 |
| If rejected, why? | |
| Birthplace as written | Launceston, Tasmania |
| Modern country | Australia |
| Age on application | 72 |
| 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 | 53 James St. Northcote |
| Address State | Victoria |
| Time at address |
| Married | Widow | |
| Children | Yes | 3 sons |
| Name of reference | Ernest Naylor Watson |
| Occupation of reference | Police Constable, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |