| Occupation as written | Household duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 18 Sep 1914 |
| Application status | Approved |
| Official | GB |
| Date of approval or denial | 5 Oct 1914 |
| If rejected, why? | |
| Birthplace as written | Christina, Norway |
| Modern country | Norway |
| Age on application | 67 |
| Age on arrival in Australia | 24 |
| Port of Departure | Norway |
| Port of Arrival | Melbourne |
| Date of arrival | 17 Nov 1871 |
| Name of ship | Kirkham |
| Voyage | Kirkham (1871-11-17) |
| Address in Australia | 16 Durham St, Albert Park |
| Address State | Victoria |
| Time at address |
| Previous address 1 | Geelong or thereabouts |
| Address State | Victoria |
| Time at address | 34 years |
| Previous address 2 | Melbourne |
| Address State | Victoria |
| Time at address | 3 years |
| Previous address 3 | Ipswich |
| Address State | Queensland |
| Time at address | 4 years, 6 months |
| Married | Widow | |
| Children | Yes | 4: 2 boys and 2 girls. All in Australia. |
| Name of reference | William Hood Renton |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |