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| 個人紀錄 Personal Data | |||
| Maid number 傭工編號 | LYDY230923-AG01 | Type of maid 傭工類型 | Oversea | 
| Name 傭工姓名 | BLESSING | Finish contract date 完約日期 | |
| Nationality 國籍 | Filipino | Education 教育程度 | College 學院 | 
| Date of Birth 出生日期 | 1993 / 雞 / 雙鱼座 | Religion 宗教 | Christian 基督教 | 
| Age 年齡 | 32 | Weight 體重 | 49 kg | 
| Marital Status 婚姻狀況 | Single 單身 | Height 高度 | 5"0 feet | 
| Family Background 家庭背景 | |||
| Spouse's Name 配偶 | Sibling 兄弟姐妹數目 | ||
| Occupation 配偶職業 | Age of children 子女年齡 | ||
| Working Experience 工作經驗 | |||
| 沒有經驗 No experience | 有經驗 Experience | ||
| Care of new born babies照顧嬰兒 | |||
| Care of children 照顧小童 | |||
| Taking care of elderly 老人護理 | |||
| Taking care of disable 照顧傷殘 | |||
| House Work 家務 | |||
| Cooking 烹飪 | |||
| Pet Care 照顧寵物 | |||
| Car washing 洗車 | |||
| Gardening 護理花園 | |||
| Language Ability 語文能力 | |||
| 學習中 Learning | 中等 Average | 好 Good |  Remark 備註 (評語只供參考) | |
| Cantonese 廣東話 | ||||
| English 英語 | ||||
| Mandarin 普通話 | 
| Domestic Helper Employment Record 工作記錄 | |||||
| Country Experience 地區工作經驗 | Hong Kong 香港 | Middle East 中東 | Other 其他 | ||
| Singapore 新加坡 | 5yrs | Saudi Arabia 沙特亞拉伯 | |||
| Taiwan 台灣 | Indonesia 印尼 | ||||
| Malaysia 馬拉 | Philippines 菲律賓 | ||||
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| Duties Priority 工作意向 | |||||||||
| Taking care of babies 照顧嬰兒 | Taking care of children 照顧小童 | Taking care of elderly 老人護理 | Housekeeping 家務 | Car washing 洗車 | |||||
| Pet Care 照顧寵物 | Tutoring children 教導小童 | Taking care of disable 照顧傷殘 | Cooking 烹飪 | Gardening 護理花園 | |||||
| Last Employer 上任僱主 | |||||||||||||||||||||||||||||
| Location 工作地點 | SINGAPORE | Working period 工作日期 | 2017 - 2021 | ||||||||||||||||||||||||||
| Size of house 單位面積 | LANDED | No of person served 僱主家庭人數 | 7 | ||||||||||||||||||||||||||
| Holiday arrangement 放假安排 | SUNDAY | No. of Maid in the family 傭工數目 | 1 | ||||||||||||||||||||||||||
| Last salary 工資 | 650SGD | Reason of leaving 離職原因 | I NEED TO TAKE CARE MY PARENTS | ||||||||||||||||||||||||||
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| Previous Employer 前任僱主 | |||||||||||||||||||||||||||||
| Location 工作地點 | SINGAPORE | Working period 工作日期 | 2022 - 2023 | ||||||||||||||||||||||||||
| Size of house 單位面積 | LANDED | No of person served 僱主家庭人數 | 5 | ||||||||||||||||||||||||||
| Holiday arrangement 放假安排 | SUNDAY | No. of Maid in the family 傭工數目 | 1 | ||||||||||||||||||||||||||
| Last salary 工資 | 680SGD | Reason of leaving 離職原因 | MY FATHER PASSED AWAY | ||||||||||||||||||||||||||
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| Previous Employer 前任僱主 | |||||||||||||||||||||||||||||
| Location 工作地點 | Working period 工作日期 | - | |||||||||||||||||||||||||||
| Size of house 單位面積 | No of person served 僱主家庭人數 | ||||||||||||||||||||||||||||
| Holiday arrangement 放假安排 | No. of Maid in the family 傭工數目 | ||||||||||||||||||||||||||||
| Last salary 工資 | Reason of leaving 離職原因 | ||||||||||||||||||||||||||||
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| Non-Domestic Employment Record 非家庭傭工的工作紀錄 | ||||
| Countries 國家 | Period 期間 (M/Y - M/Y) | Duties 工作內容 | Salary 薪金 | |
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| General Information 一般諮詢 | Yes 是 | No 否 | |
| 1. | Are you willing to eat Chinese food same as employer? 你願意和你的僱主一樣吃中餐嗎? | ||
| 2. | Do you eat pork? 你吃豬肉嗎? | ||
| 3. | Day off is usually on Sunday, but if the employer request, would you like to change the day off to another day? 休息日通常為星期日,但若僱主有需要,你願意把休息日改為其他日子嗎? | ||
| 4. | Can you promise no visitor is allowed without consent of your employer? 你可以承諾未經僱主同意下不允許訪客進入屋內嗎? | ||
| 5. | Can you promise to dress properly and without any make up while working? 你可以承諾在工作時穿著得體, 沒有化妝嗎? | ||
| 6. | Can you promise to keep your personal hygiene and take a bath before sleep? 你可以承諾保持個人衛生和在睡覺前洗澡嗎? | ||
| 7. | Are you willing to go with your employer if they travel to other country? 你願意和你的僱主前往其它國家嗎? | ||
| 8. | Can you sewing and mending clothes? 你可以縫製和修補衣服嗎? | ||
| 9. | Are you afraid of dogs, cats or other pets? 你害怕狗, 貓或其牠寵物嗎? | ||
| 10. | Do you smoke? 你吸煙嗎? | ||
| 11. | Can you drive vehicle? 你懂得駕駛嗎? | ||
| 12. | Can you prepare a family dinner by yourself? 你能夠獨自煮家庭晚餐嗎? | ||
| 13. | Are you good at cooking Chinese food? 你擅張煮中國菜嗎? | ||
| 14. | Can you go to market to buy food buy  by yourself? 你能夠獨自到街市買菜嗎? | ||
| 15. | Are you willing to share a room with children or an elderly person? 你願意與小孩或長者共用一個房間嗎? | ||
| 16. | Are you willing to work in the family that has another house maid? 你願意跟另一位傭工一起工作嗎? | ||
| 17. | Do you have tattoos? If yes, which part of your body? 你身上有紋身嗎? 如有,在哪個部位? | 
我在此確認上述所有信息和答案都是真實無誤的. 我不反對香港機構向潛在僱主披露我的個人資料以作推廣用途. 我知道如提供任何虛假資料可導致被遣返回原籍國.
 
                            Name and Signature of Applicant (Same as passport): BLESSING
            
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