| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 22 May 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 19 Jun 1916 |
| If rejected, why? | |
| Birthplace as written | Copenhagen, Denmark |
| Modern country | Denmark |
| Age on application | 51 |
| Age on arrival in Australia | 45 |
| Port of Departure | Denmark |
| Port of Arrival | Brisbane |
| Date of arrival | 21 Oct 1909 |
| Name of ship | Rippingham Grange |
| Voyage | Rippingham Grange (1909-10-21) |
| Address in Australia | Tannymorel |
| Address State | Queensland |
| Time at address | 2 years, 4 months |
| Previous address 1 | Greenmount |
| Address State | Queensland |
| Time at address | 9 months |
| Previous address 2 | Westbrook |
| Address State | Queensland |
| Time at address | 4 months |
| Previous address 3 | Geham |
| Address State | Queensland |
| Time at address | 10 months |
| Married | Widow | |
| Children | Yes | 2 sons |
| Name of reference | Charles Burnell Bright |
| Occupation of reference | Police officer, Queensland |
| Marginalia description | p.1 'I' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |