| Occupation as written | Boardinghouse keeper |
| Standardised occupation | DE07: Dealing - Wines, Spirits and Hotels |
| Application received | 1 Aug 1914 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 28 Aug 1914 |
| If rejected, why? | |
| Birthplace as written | McClaren Vale, South Australia |
| Modern country | Australia |
| Age on application | 47 |
| Age on arrival in Australia | None |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | 105 Drummond Street, Carlton |
| Address State | Victoria |
| Time at address | 25 years |
| Previous address 1 | Adelaide |
| Address State | South Australia |
| Time at address | 22 years |
| Married | Widow | |
| Children | Yes | 2 |
| Name of reference | Michael Graham |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | p.1 'This lady's husband was not naturalised' GB |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |