| Occupation as written | Storekeeper |
| Standardised occupation | DE12: Dealing - General dealers |
| Application received | 1 Jan 1916 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 2 Feb 1916 |
| If rejected, why? | |
| Birthplace as written | Collingwood, Victoria, Australia |
| Modern country | Australia |
| Age on application | 59 |
| Age on arrival in Australia | 9 |
| Port of Departure | None |
| Port of Arrival | None |
| Date of arrival | None |
| Name of ship | None |
| Address in Australia | Stephenson Street, Murchison |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Talamba |
| Address State | |
| Time at address |
| Married | Widow | |
| Children | Yes | 3 sons, 2 offered to serve in army but third disabled. 4, daughter in Tasmania. |
| Name of reference | Edwin Andrew Muhlhan |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | p.7 '(Husband not nat)' and '(German)' |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
German husband. Widow. Thought husband was naturalised. Approv 2 Feb 1916.
Police Report but no Memorandum for referral. She’s included a Statutory Declaration with application, 12 January 1916, Melbourne, p.12: includes ‘I have three sons two of whom namely John Henry Martin and William George have offered themselves in Victoria for service in His Majestys [sic] Australian Imperial Forces my third son being disabled’
Police Report, 24 January 1916, p.3-4: described her family as ‘good Citizens… her family are good Loyal British Subjects’