Living with an excruciating bone disease, Anna Rochford's dying wish is to see her brother one last time.
She would before visit him in India every year but is now too unwell to travel, and visa applications for him to come to Australia have been repeatedly denied.
The federal government says it has considered "the compassionate and compelling reasons for travel" but is not satisfied the applicant has met all requirements.
Anna Rochford lives with a debilitating condition that feels like "acid is being poured into [her] bones 24/7".
At 36 kilograms, the 57-year-old's disease is so severe her doctor says her lifespan has been greatly shortened.
The siblings were sent to separate orphanages as young children in India after their mother died, only reconnecting when Ms Rochford was a teenager and discovering they were two of five siblings.
Ms Rochford and her husband intend to pay for all her brother's travel expenses, and have offered a security bond, as well as medical certification.
In a letter seen by the ABC, Ms Rochford's doctor said she had "suffered immeasurable distress as a result of her condition" with a poor prognosis and "significantly" reduced life expectancy.
Ms Rochford also provided documentation outlining her brother's ties to his home country, including a wife and son who depend on him, stable work, and ongoing community commitments.
After three refusals in a year, she said she was starting to give up hope.
Through tears, husband Paul Rochford said he had watched his wife's deterioration.
In decision statements seen by the ABC, the Department of Home Affairs said the applicant had not provided enough detail on personal finances.