| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 May 1916 |
| Application status | Already a Subject |
| Official | LTF |
| Date of approval or denial | 10 May 1916 |
| If rejected, why? | |
| Birthplace as written | Silesia, Germany |
| Modern country | Poland |
| Age on application | 60 |
| Age on arrival in Australia | 6 |
| Port of Departure | Germany |
| Port of Arrival | Adelaide |
| Date of arrival | 25 Dec 1861 |
| Name of ship | Godefroh |
| Voyage | Godefroh (1861-12-25) |
| Address in Australia | Westbourne Park |
| Address State | South Australia |
| Time at address | 26 years |
| Married | Yes | |
| Children | Yes | 2 daughters |
| Name of reference | Joseph Wood |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |