| Occupation as written | Widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 7 Oct 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 9 Oct 1912 |
| If rejected, why? | |
| Birthplace as written | Diernise, Groborg, Denmark |
| Modern country | Denmark |
| Age on application | 57 |
| Age on arrival in Australia | 18 |
| Port of Departure | Denmark |
| Port of Arrival | Bowen |
| Date of arrival | 18 Jul 1873 |
| Name of ship | Hershil |
| Voyage | Herschel (1873-07-04) |
| Address in Australia | Charters Towers |
| Address State | Queensland |
| Time at address | 38 years |
| Previous address 1 | Bowen |
| Address State | Queensland |
| Time at address | 1 years |
| Married | Widow | |
| Children | Yes | 4 males and 1 female. |
| Name of reference | Frederick Longwill |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |