| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 29 Mar 1904 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 18 Apr 1904 |
| If rejected, why? | |
| Birthplace as written | Tromso, Karlso, Norway |
| Modern country | Norway |
| Age on application | 33 |
| Age on arrival in Australia | 30 |
| Port of Departure | Norway |
| Port of Arrival | Freemantle |
| Date of arrival | 18 Oct 1900 |
| Name of ship | RMS Ophir |
| Voyage | Ophir (1900-10-18) |
| Address in Australia | Bunbury |
| Address State | Western Australia |
| Time at address | 3 years, 5 months |
| Married | Yes |
| Children | No |
| Name of reference | Henry Zeplin |
| Occupation of reference | Water Police Constable, Bunbury, Western Australia |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |