| Occupation as written | No occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 21 Oct 1909 |
| If rejected, why? | |
| Birthplace as written | Adelsbourg, Denmark |
| Modern country | Denmark |
| Age on application | 67 |
| Age on arrival in Australia | 31 |
| Port of Departure | Denmark |
| Port of Arrival | Townsville, Queensland |
| Date of arrival | 21 Feb 1874 |
| Name of ship | Lameshagen |
| Voyage | Lammashagen (1874-02-28) |
| Address in Australia | Stoney Creek Road, Bexley, Sydney |
| Address State | New South Wales |
| Time at address | 29 years |
| Previous address 1 | Glebe, near Sydney |
| Address State | New South Wales |
| Time at address | 1 years |
| Previous address 2 | Townsville |
| Address State | Queensland |
| Time at address | 5 years |
| Married | Widow | |
| Children | Yes | 4 sons |
| Name of reference | Charles Amery Howard |
| Occupation of reference | Justice of the Peace, New South Wales |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |