| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 24 Sep 1917 |
| Application status |
Unknown |
| Official | A.H. |
| Date of approval or denial | None |
| If rejected, why? | incomplete. no response to query about husband's status |
| Birthplace as written | Kutnovok Warsaw, Russian Poland (Russian Pole) |
| Modern country | Poland |
| Age on application | 27 |
| Age on arrival in Australia | 21 |
| Port of Departure | Harbin Russian Empire |
| Port of Arrival | Brisbane |
| Date of arrival | 13 Nov 1911 |
| Name of ship | Kumanoo |
| Voyage | Kumano Maru (1911-11-13) |