| Occupation as written | wife |
| Standardised occupation | XX00: Other - Other |
| Application received | 10 May 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 11 May 1911 |
| If rejected, why? | |
| Birthplace as written | Givskud, Tylland, Denmark |
| Modern country | Denmark |
| Age on application | 28 |
| Age on arrival in Australia | 24 |
| Port of Departure | Denmark |
| Port of Arrival | Melbourne |
| Date of arrival | 4 May 1907 |
| Name of ship | Prinz Heinrich |
| Voyage | Prinz Heinrich (1907-05-04) |
| Address in Australia | Malmsbury Street, Kew |
| Address State | Victoria |
| Time at address | 2 years, 6 months |
| Previous address 1 | Hawthorn |
| Address State | Victoria |
| Time at address | 1 years, 6 months |
| Married | Yes |
| Children | No |
| Name of reference | William Constable |
| Occupation of reference | Postmaster, Victoria |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |