| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 25 Jun 1915 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 1 Jul 1915 |
| If rejected, why? | |
| Birthplace as written | Bergen, Norway |
| Modern country | Norway |
| Age on application | 57 |
| Age on arrival in Australia | 25 |
| Port of Departure | Bergen |
| Port of Arrival | Melbourne |
| Date of arrival | 2 Feb 1883 |
| Name of ship | SS Cusks |
| Voyage | Cusco (1883-02-02) |
| Address in Australia | Coburg |
| Address State | Victoria |
| Time at address | 7 years |
| Previous address 1 | Ascot Vale |
| Address State | Victoria |
| Time at address | 1 years |
| Previous address 2 | Port Melbourne |
| Address State | Victoria |
| Time at address | 19 years |
| Previous address 3 | South Melbourne |
| Address State | Victoria |
| Time at address | 2 years |
| Married | Yes | |
| Children | Yes | 3 sons |
| Name of reference | W S Arthur |
| 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 |