| Occupation as written | wife of storekeeper |
| Standardised occupation | DE12: Dealing - General dealers |
| Application received | 20 May 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 22 May 1912 |
| If rejected, why? | |
| Birthplace as written | Oretzy, Russia |
| Modern country | Russia |
| Age on application | 40 |
| Age on arrival in Australia | 28 |
| Port of Departure | Oretzy Russia |
| Port of Arrival | None |
| Date of arrival | 15 Aug 1900 |
| Name of ship | Messaquarie Steamship |
| Voyage | Messaquarie (1900-08-15) |
| Address in Australia | Oride Street, Broken Hill |
| Address State | Victoria |
| Time at address |
| Married | Yes |
| Children | No |
| Name of reference | George Chinney Bowen |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |