| Occupation as written | home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 4 Aug 1913 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 15 Aug 1913 |
| If rejected, why? | |
| Birthplace as written | Loon, Sebri, Norway |
| Modern country | Norway |
| Age on application | 59 |
| Age on arrival in Australia | 30 |
| Port of Departure | Norway |
| Port of Arrival | Chelona |
| Date of arrival | 20 Dec 1882 |
| Name of ship | SS Edna |
| Voyage | Etna (1882-12-20) |
| Address in Australia | Nagamki |
| Address State | Victoria |
| Time at address | 9 years |
| Married | Yes | |
| Children | Yes | 8: 5 boys and 3 girls. 2 boys in NSW. 3 girls in Melbourne. 1 boy with her |
| Name of reference | William H. Tammick |
| Occupation of reference | Senior Constable of Police (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |