| Occupation as written | Laundress |
| Standardised occupation | DS01: Domestic service - Indoor service |
| Application received | 26 Jan 1916 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 21 Feb 1916 |
| If rejected, why? | |
| Birthplace as written | Rodkjoping, Denmark [Rudkøbing] |
| Modern country | Denmark |
| Age on application | 60 |
| Age on arrival in Australia | 22 |
| Port of Departure | Rudkøbing, Denmark |
| Port of Arrival | Brisbane |
| Date of arrival | 10 Oct 1877 |
| Name of ship | Humboldt |
| Voyage | Humboldt (1877-10-10) |
| Address in Australia | Prospect Terrace, South Brisbane |
| Address State | Queensland |
| Time at address | 26 years |
| Previous address 1 | Toowoomba |
| Address State | Queensland |
| Time at address | 12 years |
| Married | No |
| Children | No |
| Name of reference | Martin Hayes |
| Occupation of reference | Acting Sergeant of Police, Kangaroo, Queensland |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |