| Occupation as written | Home duties |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 28 Dec 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 26 Jan 1910 |
| If rejected, why? | |
| Birthplace as written | Apenrade, Denmark |
| Modern country | Denmark |
| Age on application | 61 |
| Age on arrival in Australia | 29 |
| Port of Departure | Denmark |
| Port of Arrival | Adelaide |
| Date of arrival | 15 Jul 1878 |
| Name of ship | Edward |
| Voyage | Eduard (1878-06-17) |
| Address in Australia | Devenport |
| Address State | Tasmania |
| Time at address |
| Previous address 1 | Gawler |
| Address State | South Australia |
| Time at address |
| Previous address 2 | Port Augusta |
| Address State | South Australia |
| Time at address |
| Married | Yes | |
| Children | Yes | 7: 4 males, 3 girls, all in South Australia. |
| Name of reference | Anthony Edward Carrig |
| Occupation of reference | Justice of the Peace (South Australia) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |