| Occupation as written | Domestic servant |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 31 Mar 1911 |
| Application status |
Approved |
| Official | JAM |
| Date of approval or denial | 3 Apr 1911 |
| If rejected, why? | |
| Birthplace as written | Randers, Jutland (Denmark) |
| Modern country | Denmark |
| Age on application | 56 |
| Age on arrival in Australia | 15 |
| Port of Departure | Grenna, Jutland |
| Port of Arrival | Jobart, Tasmania |
| Date of arrival | 24 Mar 1872 |
| Name of ship | Immigrant Ship Eugenie |
| Voyage | Eugenie (1872-03-23) |