| Occupation as written | Insurance Agent |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Nov 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 1 Nov 1915 |
| If rejected, why? | |
| Birthplace as written | Narrabri, New South Wales, Australia |
| Modern country | Australia |
| Age on application | 41 |
| 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 | 153 Seichardt Street, Waverley |
| Address State | New South Wales |
| Time at address | 61 years |
| Married | Widow | |
| Children | Yes | 2 daughters |
| Name of reference | Gordon Robey |
| 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 |
Italian husband (widow)