| Occupation as written | Tailoress |
| Standardised occupation | MF23: Manufacturing - Dress |
| Application received | 12 Oct 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 6 Nov 1915 |
| If rejected, why? | |
| Birthplace as written | Rossienny, Poland |
| Modern country | Poland |
| Age on application | 63 |
| Age on arrival in Australia | 30 |
| Port of Departure | London |
| Port of Arrival | Sydney |
| Date of arrival | 1 Aug 1881 |
| Name of ship | SS Paten |
| Voyage | Paten (1881-08-01) |
| Address in Australia | 3 Arthur Street, Marrickville |
| Address State | New South Wales |
| Time at address | 34 years |
| Married | Widow | |
| Children | Yes | 1 son |
| Name of reference | Josias Dawe |
| Occupation of reference | Sergeant of Police, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |