| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 29 Jan 1916 |
| Application status | Denied |
| Official | |
| Date of approval or denial | 2 Feb 1916 |
| If rejected, why? | not resided continuously for past 2 years |
| Birthplace as written | Balte, Russia |
| Modern country | Russia |
| Age on application | 37 |
| Age on arrival in Australia | 0 |
| Port of Departure | New Zealand |
| Port of Arrival | Sydney |
| Date of arrival | 28 Dec 1915 |
| Name of ship | Manuka |
| Voyage | Manuka (1915-12-28) |
| Address in Australia | Victoria Rd. Gympie |
| Address State | Queensland |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: 1 boy and 2 girls |
| Name of reference | Luke John Thomas |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |