| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 17 Mar 1911 |
| If rejected, why? | |
| Birthplace as written | Copenhagen, Denmark |
| Modern country | Denmark |
| Age on application | 60 |
| Age on arrival in Australia | 34 |
| Port of Departure | Copenhagen |
| Port of Arrival | Sydney |
| Date of arrival | 1 Dec 1885 |
| Name of ship | Patoso |
| Voyage | Potosi (1885-06-12) |
| Address in Australia | 160 Terran Street, New Farm Brisbane |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Sydney |
| Address State | New South Wales |
| Time at address | 2 years |
| Married | Widow | |
| Children | Yes | 3: 3 males, two with her and one in Manley |
| Name of reference | Peter A. MiLachlan |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |