| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 16 Oct 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 19 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Hoptrop, Denmark |
| Modern country | Denmark |
| Age on application | 60 |
| Age on arrival in Australia | 20 |
| Port of Departure | Denmark |
| Port of Arrival | Maryborough |
| Date of arrival | 1 Jun 1871 |
| Name of ship | SS Shakespeare |
| Voyage | Shakespeare (1871-08-03) |
| Address in Australia | Kaba Rockhampton |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Central Railway |
| Address State | |
| Time at address |
| Previous address 2 | Western district about Banlid |
| Address State | |
| Time at address |
| Married | Yes | |
| Children | Yes | 8: 6 sons and 2 daughters. 5 in Queensland and 3 deceased. |
| Name of reference | John Walsh O'Shancey |
| 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 |