| Occupation as written | Household Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Apr 1910 |
| Application status | Approved |
| Official | CSS |
| Date of approval or denial | 4 Apr 1910 |
| If rejected, why? | |
| Birthplace as written | Aalesûnd, East part, Norway |
| Modern country | Norway |
| Age on application | 51 |
| Age on arrival in Australia | 26 |
| Port of Departure | Norway |
| Port of Arrival | Adelaide |
| Date of arrival | 14 Dec 1884 |
| Name of ship | Chatore |
| Voyage | Chatore (1884-12-14) |
| Address in Australia | 25 Vinrace St. off Gilbert Street, Adelaide |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 6: 3 male 3 female. 5 resident with her. 1 in Melrose, SA |
| Name of reference | William Joseph Denny |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |