| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 29 Nov 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 28 Dec 1911 |
| If rejected, why? | |
| Birthplace as written | Holpak, Town, Denmark |
| Modern country | Denmark |
| Age on application | 54 |
| Age on arrival in Australia | 17 |
| Port of Departure | Holpek, Denmark |
| Port of Arrival | Bowen |
| Date of arrival | 2 Jan 1884 |
| Name of ship | None |
| Address in Australia | Rosevale, Don River Bowen |
| Address State | Queensland |
| Time at address | 27 years |
| Married | Yes | |
| Children | Yes | 7: 5 boys and 2 girls all reside in and around Bowen |
| Name of reference | George Turner |
| 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 |