| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 19 Oct 1914 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 30 Nov 1914 |
| If rejected, why? | |
| Birthplace as written | Tascana, Italy |
| Modern country | Italy |
| Age on application | 37 |
| Age on arrival in Australia | 18 |
| Port of Departure | Italy |
| Port of Arrival | Albany |
| Date of arrival | 1 Jan 1895 |
| Name of ship | Ormuz |
| Voyage | Ormuz (1895-01-01) |
| Address in Australia | 9 Ellen Street, Fremantle |
| Address State | Western Australia |
| Time at address | 5 years |
| Previous address 1 | Perth |
| Address State | Western Australia |
| Time at address | 2 years |
| Previous address 2 | Fremantle |
| Address State | Western Australia |
| Time at address | 12 years |
| Married | Widow | |
| Children | Yes |
| Name of reference | Alexander Porter Hamilton |
| Occupation of reference | Justice of the Peace (Western Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |