| Occupation as written | married woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 18 Nov 1904 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 21 Nov 1904 |
| If rejected, why? | |
| Birthplace as written | Villard, Champuent, Canton de Vaud, Switzerland |
| Modern country | Switzerland |
| Age on application | 57 |
| Age on arrival in Australia | 24 |
| Port of Departure | None |
| Port of Arrival | Williamstown |
| Date of arrival | 5 May 1870 |
| Name of ship | Percy |
| Voyage | Percy (1870-05-05) |
| Address in Australia | Avenel |
| Address State | Victoria |
| Time at address | 7 years |
| Previous address 1 | Wormangal |
| Address State | Victoria |
| Time at address | 7 years |
| Previous address 2 | Nagambie |
| Address State | Victoria |
| Time at address | 7 years |
| Married | Yes | |
| Children | Yes | 8: four males and four females all resident in Australian states |
| Name of reference | Frederick Thomas Hunt |
| Occupation of reference | Police constable, Avenal, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |