| Occupation as written | marrried woman |
| Standardised occupation | XX00: Other - Other |
| Application received | 27 Mar 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 30 Mar 1911 |
| If rejected, why? | |
| Birthplace as written | Homison, Zealand, Denmark |
| Modern country | Denmark |
| Age on application | 64 |
| Age on arrival in Australia | 40 |
| Port of Departure | London |
| Port of Arrival | Brisbane |
| Date of arrival | 1 Jan 1887 |
| Name of ship | Merkara |
| Voyage | Merkera (1887-07-20) |
| Address in Australia | Stone Hill farm, Kalkie near Bundaberg |
| Address State | Queensland |
| Time at address |
| Married | Yes |
| Children | No |
| Name of reference | Hans T. Christsen |
| 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 |