| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 3 Oct 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 8 Oct 1913 |
| If rejected, why? | |
| Birthplace as written | Dumtheim, Norway |
| Modern country | Norway |
| Age on application | 60 |
| Age on arrival in Australia | 36 |
| Port of Departure | England |
| Port of Arrival | Melbourne |
| Date of arrival | 21 Jan 1889 |
| Name of ship | Nürenberg |
| Voyage | Nurnberg (1889-07-05) |
| Address in Australia | Pine Avenue, Elwood |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | "Separated' - 4 kids, 1 boy and 3 girls |
| Name of reference | John E. Forerman |
| 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 |
'separated' from husband