| Occupation as written | no occupation |
| Standardised occupation | XX00: Other - Other |
| Application received | 1 Jan 1908 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 7 Oct 1908 |
| If rejected, why? | |
| Birthplace as written | Niverod, Sjaland, Denmark |
| Modern country | Denmark |
| Age on application | 72 |
| Age on arrival in Australia | 48 |
| Port of Departure | Denmark |
| Port of Arrival | Brisbane |
| Date of arrival | 7 Jul 1884 |
| Name of ship | Duke of Westminster |
| Voyage | Duke of Westminster (1884-07-01) |
| Address in Australia | Baines Street, Kangaroo Point, Brisbane |
| Address State | Queensland |
| Time at address |
| Married | Widow | |
| Children | Yes | 4: 1 Thursday Holland, 2 West Australia, 1 Brisbane |
| Name of reference | Francis Cullen |
| Occupation of reference | Justice of the Peace, Kangaroo Point, Queensland |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |