| Occupation as written | Domestic Servant |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 28 Aug 1916 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 1 Sep 1915 |
| If rejected, why? | |
| Birthplace as written | Ostmabannen, Nordre Odelen, Norway |
| Modern country | Norway |
| Age on application | 35 |
| Age on arrival in Australia | 21 |
| Port of Departure | Norway |
| Port of Arrival | Brisbane |
| Date of arrival | 16 Jul 1902 |
| Name of ship | Duke of Portland |
| Voyage | Duke of Portland (1902-07-16) |
| Address in Australia | Tiengboo? Station near Miles |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Brisbane |
| Address State | Queensland |
| Time at address |
| Previous address 2 | Warwick |
| Address State | Queensland |
| Time at address |
| Previous address 3 | Sladevale |
| Address State | Queensland |
| Time at address |
| Married | No |
| Children | No |
| Name of reference | John Williamson |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |