| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 1 Jan 1909 |
| Application status | Unknown |
| Official | |
| Date of approval or denial | 25 May 1909 |
| If rejected, why? | incomplete: no response when form D sent |
| Birthplace as written | Christiansand, Norway |
| Modern country | Norway |
| Age on application | 37 |
| Age on arrival in Australia | 17 |
| Port of Departure | Norway |
| Port of Arrival | Port Melbourne |
| Date of arrival | 25 Oct 1889 |
| Name of ship | Hohensalern |
| Voyage | Hohenstollern |
| Address in Australia | 39 Alfred Street, Port Melbourne |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 3: two girls and one boy, living in Port Melbourne |
| Name of reference | A. Rogers |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |