| Occupation as written | widow |
| Standardised occupation | XX00: Other - Other |
| Application received | 20 Feb 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 24 Feb 1911 |
| If rejected, why? | |
| Birthplace as written | Langland, Denmark |
| Modern country | Denmark |
| Age on application | 50 |
| Age on arrival in Australia | 19 |
| Port of Departure | New Zealand |
| Port of Arrival | None |
| Date of arrival | 1 Sep 1881 |
| Name of ship | Emaliez |
| Voyage | Emaliez (1881-09-01) |
| Address in Australia | 35 East Street, Surry Hills, Sydney |
| Address State | New South Wales |
| Time at address | 15 years, 6 months |
| Previous address 1 | Easton Creek |
| Address State | New South Wales |
| Time at address | 14 years |
| Previous address 2 | Melboune |
| Address State | Victoria |
| Time at address | 1 years |
| Married | Widow | |
| Children | Yes | 6 alive, 2 boys and 4 girls |
| Name of reference | Louis Alexander Pogonowski |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | Pension |
| Other information | She's been refused a pension and she is a widow with two kids 'and have lost the use of my right hand' so this is 'of great importance to me'. 'sorry for trouble'. - 24 March 1911, p.2, her to DEA |
Disability.