| Occupation as written | Married Woman - household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 2 Nov 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 1 Dec 1915 |
| If rejected, why? | |
| Birthplace as written | Adelaide, South Australia, Australia |
| Modern country | Australia |
| Age on application | 22 |
| 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 | 55 McGregor Street, Middle Park |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Melbourne |
| Address State | Victoria |
| Time at address | 6 years |
| Previous address 2 | Adelaide |
| Address State | South Australia |
| Time at address | 15 years |
| Married | Yes |
| Children | No |
| Name of reference | Philip Blashki |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
Husband Russian.