| Occupation as written | Household Duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 3 Apr 1916 |
| Application status | Already a Subject |
| Official | |
| Date of approval or denial | 19 Apr 1916 |
| If rejected, why? | |
| Birthplace as written | Rogethede, Halbourg, Denmark |
| Modern country | Denmark |
| Age on application | 69 |
| Age on arrival in Australia | 26 |
| Port of Departure | Denmark |
| Port of Arrival | Maryborough |
| Date of arrival | 13 Jun 1873 |
| Name of ship | Adlardus |
| Voyage | Alardus (1873-06-04) |
| Address in Australia | Saltwater Creek Road, Maryborough |
| Address State | Queensland |
| Time at address | 8 years, 9 months |
| Previous address 1 | Pialba |
| Address State | Queensland |
| Time at address | 34 years |
| Married | Yes | |
| Children | Yes | 4: 2 males and 2 females |
| Name of reference | Henry H. Ellwood |
| Occupation of reference | Justice of the Peace (Queensland) |
| Marginalia description | p.1 'Danish Female' |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |