| Occupation as written | Domestic Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 22 Apr 1913 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 12 May 1913 |
| If rejected, why? | |
| Birthplace as written | Sjælland, Denmark |
| Modern country | Denmark |
| Age on application | 62 |
| Age on arrival in Australia | 31 |
| Port of Departure | New Zealand (?) |
| Port of Arrival | Newcastle, NSW |
| Date of arrival | 26 Jan 1882 |
| Name of ship | None |
| Address in Australia | Hillgrove |
| Address State | New South Wales |
| Time at address | 20 years |
| Previous address 1 | Perth |
| Address State | Western Australia |
| Time at address | 9 months |
| Previous address 2 | Southern Cross |
| Address State | Western Australia |
| Time at address | 10 years |
| Married | No |
| Children | No |
| Name of reference | William Morgan |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information | Doesn't remember travel details |
"known as Mrs Burrows"