| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 2 Jul 1913 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 14 Jul 1913 |
| If rejected, why? | |
| Birthplace as written | Elsinore, Denmarrk |
| Modern country | Denmark |
| Age on application | 63 |
| Age on arrival in Australia | 22 |
| Port of Departure | Denmark |
| Port of Arrival | Maryborough |
| Date of arrival | 17 Mar 1872 |
| Name of ship | Haschel |
| Voyage | Haschel (1872-03-17) |
| Address in Australia | 135 George Street, Redfern |
| Address State | New South Wales |
| Time at address |
| Previous address 1 | Maryborough |
| Address State | Queensland |
| Time at address | 1 years |
| Previous address 2 | Sydney |
| Address State | New South Wales |
| Time at address | 40 years |
| Married | Widow | |
| Children | Yes | 4: 2 boys, 2 girls, all in Sydney and suburbs |
| Name of reference | George Henry Harrison |
| Occupation of reference | Sergeant of Police (New South Wales) |
| Marginalia description | p.1: 'Dane' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |