| Occupation as written | Home Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 8 Jul 1913 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Jul 1913 |
| If rejected, why? | |
| Birthplace as written | Denmark |
| Modern country | Denmark |
| Age on application | 63 |
| Age on arrival in Australia | 8 |
| Port of Departure | Denmark |
| Port of Arrival | Melbourne |
| Date of arrival | 1 Jan 1855 |
| Name of ship | None |
| Address in Australia | 87 Wattle St Bendigo |
| Address State | Victoria |
| Time at address |
| Married | Yes | |
| Children | Yes | 9: 4 girls and 5 boys |
| Name of reference | Edward George Keats |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | p.1 'Dane' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |
no ship named