| Occupation as written | Needlewoman |
| Standardised occupation | MF24: Manufacturing - Dress sundries |
| Application received | 11 Feb 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 23 Mar 1909 |
| If rejected, why? | |
| Birthplace as written | Sesemity, Bohemia, Austria |
| Modern country | Czechia |
| Age on application | 66 |
| Age on arrival in Australia | 48 |
| Port of Departure | Austria |
| Port of Arrival | Williamstown, Melbourne |
| Date of arrival | 9 Feb 1891 |
| Name of ship | Kaiser Rilhelm I |
| Voyage | Kaiser Whilhelm I (1891-02-09) |
| Address in Australia | 7 Crross St., Prahran, Melbourne |
| Address State | Victoria |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | A.S. J |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |