| Occupation as written | Widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 12 Aug 1915 |
| Application status | Already a Subject |
| Official | |
| Date of approval or denial | 17 Sep 1915 |
| If rejected, why? | |
| Birthplace as written | Kragrae, Norway |
| Modern country | Norway |
| Age on application | 62 |
| Age on arrival in Australia | 17 |
| Port of Departure | Norway |
| Port of Arrival | Rockhampton |
| Date of arrival | 8 Sep 1870 |
| Name of ship | Lamashagen |
| Voyage | Lammashagen (1870-09-08) |
| Address in Australia | McLeod Street, Cairns |
| Address State | Queensland |
| Time at address | 3 years, 6 months |
| Previous address 1 | Charters Towers |
| Address State | Queensland |
| Time at address | 27 years |
| Previous address 2 | McKay |
| Address State | Queensland |
| Time at address | 13 years |
| Previous address 3 | Rockhampton |
| Address State | Queensland |
| Time at address | 6 months |
| Married | Widow | |
| Children | Yes | 5 sons |
| Name of reference | John Burrows |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | p.1 'Nor' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |