| Occupation as written | Married Woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 23 Nov 1916 |
| Application status | Denied |
| Official | A.H. |
| Date of approval or denial | 14 Dec 1916 |
| If rejected, why? | Husband still alive |
| Birthplace as written | Sydney, N S Wales, Australia |
| Modern country | Australia |
| Age on application | 36 |
| Age on arrival in Australia | 0 |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | Railway Crescent, Mount Lawley |
| Address State | Western Australia |
| Time at address | 36 years |
| Married | Yes | |
| Children | Yes | 2 |
| Name of reference | Frederick Daniel Good |
| 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 |