| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Jan 1914 |
| Application status | Already a Subject |
| Official | FJQ |
| Date of approval or denial | 19 Jan 1914 |
| If rejected, why? | |
| Birthplace as written | Navine, South Australia |
| Modern country | Australia |
| Age on application | 59 |
| 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 | 67 Second Avenue, East Adelaide |
| Address State | South Australia |
| Time at address | 12 years |
| Previous address 1 | Nairne |
| Address State | South Australia |
| Time at address | 25 years |
| Previous address 2 | Gladstone (6) and Laura (2) |
| Address State | Queensland |
| Time at address | 8 years |
| Previous address 3 | Port Pirie |
| Address State | South Australia |
| Time at address | 13 years |
| Married | Yes |
| Children | No |
| Name of reference | Stephen Parsons |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | p.1 'Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |