| Occupation as written | Office Cleaner and Housework |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 12 Oct 1912 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 1 Nov 1911 |
| If rejected, why? | |
| Birthplace as written | Hyrup, Jutland, Denmark |
| Modern country | Denmark |
| Age on application | 73 |
| Age on arrival in Australia | 43 |
| Port of Departure | Denmark |
| Port of Arrival | Brisbane |
| Date of arrival | 7 Aug 1878 |
| Name of ship | Lammeshagen |
| Voyage | Lammashagen (1878-08-06) |
| Address in Australia | c/o Mrs C. Campbell, Sydney Street, New Farm, Brisbane |
| Address State | Queensland |
| Time at address |
| Married | Widow | |
| Children | Yes | 1 daughter in Brisbane |
| Name of reference | John Howard |
| Occupation of reference | Constable of Police, Queensland |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |