| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 18 Oct 1916 |
| Application status | Approved |
| Official | LTF |
| Date of approval or denial | 22 Nov 1916 |
| If rejected, why? | |
| Birthplace as written | near Copenhagen, Denmark |
| Modern country | Denmark |
| Age on application | 59 |
| Age on arrival in Australia | 30 |
| Port of Departure | Denmark |
| Port of Arrival | Port Melbourne |
| Date of arrival | 7 Jun 1887 |
| Name of ship | None |
| Address in Australia | Moor Street, Fitzroy |
| Address State | Victoria |
| Time at address | 18 years |
| Previous address 1 | Kess Street, Fitzroy |
| Address State | Victoria |
| Time at address | 10 years |
| Previous address 2 | Gore Street, Fitzroy |
| Address State | Victoria |
| Time at address | 1 years, 6 months |
| Married | Yes | |
| Children | Yes | 3 sons |
| Name of reference | Thomas McMahen |
| 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 |