| Occupation as written | widow. occasional nurse |
| Standardised occupation | PP08: Public services and Professionals - Medicine |
| Application received | 20 Sep 1911 |
| Application status | Approved |
| Official | JAM |
| Date of approval or denial | 2 Oct 1911 |
| If rejected, why? | |
| Birthplace as written | Giersen, Wanpen, Sondol Odalen, Norway |
| Modern country | Norway |
| Age on application | 60 |
| Age on arrival in Australia | 30 |
| Port of Departure | Norway |
| Port of Arrival | Bowen |
| Date of arrival | 1 Jul 1873 |
| Name of ship | Harseln |
| Voyage | Harseln (1873-07-01) |
| Address in Australia | Hampden |
| Address State | Queensland |
| Time at address |
| Previous address 1 | Bowen |
| Address State | Queensland |
| Time at address | 2 years |
| Previous address 2 | Mackay |
| Address State | Queensland |
| Time at address | 34 years |
| Married | Widow | |
| Children | Yes | 6: 3 males and 3 females. 5 live in Mackay and 1 in Cardwell |
| Name of reference | William Norris Deller |
| 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 |