| Occupation as written | House Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 13 Apr 1912 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 8 May 1912 |
| If rejected, why? | |
| Birthplace as written | Horten, Norway |
| Modern country | Norway |
| Age on application | 63 |
| Age on arrival in Australia | 37 |
| Port of Departure | Norway |
| Port of Arrival | Adelaide |
| Date of arrival | 1 Nov 1885 |
| Name of ship | Asmor |
| Voyage | Asmor (1885-11-01) |
| Address in Australia | Cross Road near Moonta |
| Address State | South Australia |
| Time at address | 20 years |
| Previous address 1 | Clinton |
| Address State | South Australia |
| Time at address | 7 years |
| Married | Yes | |
| Children | Yes | 5: 2 males and 3 females |
| Name of reference | Thomas Humphrey Cock |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |