| Occupation as written | Domestic Service |
| Standardised occupation | DS03: Domestic service - Other service |
| Application received | 14 Mar 1918 |
| Application status | Approved |
| Official | EC |
| Date of approval or denial | 22 May 1918 |
| If rejected, why? | |
| Birthplace as written | Relling Lussen, Holstein, Denmark |
| Modern country | Denmark |
| Age on application | 65 |
| Age on arrival in Australia | 32 |
| Port of Departure | Holstein |
| Port of Arrival | Sydney |
| Date of arrival | 5 Aug 1884 |
| Name of ship | Sorrento |
| Voyage | Sorrento (1884-10-15) |
| Address in Australia | 69 Lewister St., Paddington, Sydney |
| Address State | New South Wales |
| Time at address |
| Married | Widow |
| Children | No |
| Name of reference | Augustus Vialone |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | p.1 'Ger' |
| Police report attached | Yes |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |