| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 11 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 23 Jan 1911 |
| If rejected, why? | |
| Birthplace as written | Chiseria, Reuthod, France |
| Modern country | France |
| Age on application | 68 |
| Age on arrival in Australia | 39 |
| Port of Departure | Dresden, Saxony |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1881 |
| Name of ship | Allora |
| Voyage | Amora (1881-01-01) |
| Address in Australia | Freebourne c/o William & Queen St., Norwood |
| Address State | South Australia |
| Time at address | 1 years |
| Previous address 1 | Sydney |
| Address State | New South Wales |
| Time at address | 2 years |
| Previous address 3 | Broken Hill, 2 Tasmania, 2 WA, 16 Adelaide, 3 yrs |
| Address State | |
| Time at address |
| Married | Widow |
| Children | No |
| Name of reference | William Edward Giles |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |