| Occupation as written | Cook, too old to work |
| Standardised occupation | MF25: Manufacturing - Food preparation |
| Application received | 1 Jan 1907 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 26 Feb 1907 |
| If rejected, why? | |
| Birthplace as written | Montataire, Department of Oise, France |
| Modern country | France |
| Age on application | 72 |
| Age on arrival in Australia | 52 |
| Port of Departure | England |
| Port of Arrival | Sydney |
| Date of arrival | 1 Nov 1882 |
| Name of ship | SS Natal |
| Voyage | Natal (1882-11-01) |
| Address in Australia | Northcote |
| Address State | Victoria |
| Time at address | 9 years |
| Previous address 1 | Tasmania |
| Address State | Tasmania |
| Time at address | 10 years |
| Previous address 2 | New South Wales |
| Address State | New South Wales |
| Time at address | 6 years |
| Married | Widow |
| Children | No |
| Name of reference | Elijah Connor |
| Occupation of reference | Police Constable, North Carlton, Victoria |
| Marginalia description | Pencilled note saying "Cook" on page 1. |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
Madame Jeanne is a member of the Order of "Little Sisters of the Poor".
On her form she says she has resided at New South Wales, Tasmania, and Victoria for long periods - consequently there is a request for more information as to exactly how long, which she gives in a letter.