| Occupation as written | Housekeeper |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 1 Jan 1917 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 25 Jul 1917 |
| If rejected, why? | |
| Birthplace as written | Brivine, Neuchatel, France |
| Modern country | France |
| Age on application | 40 |
| Age on arrival in Australia | 24 |
| Port of Departure | France |
| Port of Arrival | Townsville |
| Date of arrival | 16 Aug 1901 |
| Name of ship | Duke of Norfolk |
| Voyage | Duke of Norfolk (1901-08-16) |
| Address in Australia | Llanrheidol Station |
| Address State | Queensland |
| Time at address | 3 years |
| Previous address 1 | Innisfail |
| Address State | Queensland |
| Time at address | 2 years |
| Previous address 2 | Mungana |
| Address State | Queensland |
| Time at address | 2 years |
| Previous address 3 | Richmond Down |
| Address State | Queensland |
| Time at address | 1 years |
| Married | No |
| Children | No |
| Name of reference | Brinsley Edward Lane |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |