| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1917 |
| Application status | Approved |
| Official | EC |
| Date of approval or denial | 27 Jan 1917 |
| If rejected, why? | |
| Birthplace as written | Langenland, an island off the north of Denmark |
| Modern country | Denmark |
| Age on application | 60 |
| Age on arrival in Australia | 16 |
| Port of Departure | Denmark |
| Port of Arrival | Brisbane |
| Date of arrival | 15 Sep 1873 |
| Name of ship | Freiderburg |
| Voyage | Frideburg (1873-09-15) |
| Address in Australia | Pinnacle Hill, Mt Lyshon Rd. Charters Towers |
| Address State | Queensland |
| Time at address | 28 years |
| Previous address 1 | Cooktown |
| Address State | Queensland |
| Time at address | 1 years, 6 months |
| Previous address 2 | Croydon |
| Address State | Queensland |
| Time at address | 2 years |
| Previous address 3 | Brisbane |
| Address State | |
| Time at address | 1 years |
| Married | Widow | |
| Children | Yes | 4: 'all of whom are dead' |
| Name of reference | Russell Hawton |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |