| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 18 Oct 1910 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 19 Oct 1910 |
| If rejected, why? | |
| Birthplace as written | Rotterdam, Holland |
| Modern country | Netherlands |
| Age on application | 73 |
| Age on arrival in Australia | 48 |
| Port of Departure | London |
| Port of Arrival | Sydney |
| Date of arrival | 25 Oct 1885 |
| Name of ship | Aberdeen |
| Voyage | Aberdeen (1885-10-25) |
| Address in Australia | 25 Womead Avenue Darlinghurst |
| Address State | New South Wales |
| Time at address |
| Married | Widow | |
| Children | Yes | 8 |
| Name of reference | Daniel Levy |
| 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 |