| Occupation as written | Domestic duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 28 Aug 1914 |
| Application status | Already a Subject |
| Official | FJQ |
| Date of approval or denial | 4 Oct 1915 |
| If rejected, why? | |
| Birthplace as written | Holding, Denmark |
| Modern country | Denmark |
| Age on application | 42 |
| Age on arrival in Australia | 31 |
| Port of Departure | Denmark |
| Port of Arrival | Melbourne |
| Date of arrival | 9 Dec 1903 |
| Name of ship | Yongale |
| Voyage | Yongale (1903-12-09) |
| Address in Australia | Sassafras Gully |
| Address State | New South Wales |
| Time at address | 1 years, 6 months |
| Previous address 1 | Richmond |
| Address State | Victoria |
| Time at address | 3 years, 6 months |
| Previous address 2 | Footscray |
| Address State | Victoria |
| Time at address | 6 years |
| Married | Yes |
| Children | No |
| Name of reference | Ida M. Curry |
| Occupation of reference | Postmistress, Victoria |
| Marginalia description | p.1 'Dane' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |