Maid No 傭工編號: IND0016
Type of maid 傭工類型: Overseas
Personal Information 個人紀錄
Maid number 傭工編號 IND0016 Type of maid 傭工類型 Overseas
Name 傭工姓名 SRI Education 教育程度 Senior High School 高中
Nationality 國籍 Indonesian 印尼 Religion 宗教 Muslim 回教
Date of Birth 出生日期 1997 / 牛 / 白羊座 Weight 體重 52 kg
Age 年齡 27 Height 高度 148 cm
Marital Status 婚姻狀況 Married 已婚 No. of Son(s) 兒子數目 2, Age ( 5, 3 )
No. of Brother(s) 兄弟數目 No. of Daughter(s) 女兒數目
No. of Sister(s) 姐妹數目 I am No. 在家排行
Duties Priority 工作意向
不願意
Not Willing		 願意
Willing
Taking care of babies 照顧嬰兒
Taking care of children 照顧小童
Taking care of elderly 老人護理
Taking care of disabled 照顧傷殘
Cooking 烹飪
Pet Care 照顧寵物
Language Ability 語言能力
很差
Poor		 一般
Fair		 好
Good		 流利
Fluent
英語
English
廣東話
Cantonese
普通話
Mandarin
Working Experience 工作經驗
香港
Hong Kong		   中東
Middle East		  
新加坡
Singapore		   沙特亞拉伯
Saudi Arabia		  
台灣
Taiwan		   印尼
Indonesia		 2 
馬來西亞
Malaysia 		   菲律賓
Philippines 		  
其他 Other   
Remark 備註 (評語只供參考)
General Information 一般諮詢 Yes 是 No 否
1. Do you drink alcohol or smoke regularly? 你是否吸煙或飲酒?
2. Do you eat pork? 你是否吃豬肉?
3. Are you willing to handle and cook pork? 你是否願意處理豬肉?
4. Do you accept rest day on weekday, not on Sunday? 你是否接受休息日不是星期日？
5. Are you willing to work on your day off with compensated salary? 你是否願意在特別情況下休息日工作, 以薪金補償?
6. Are you accept share room with kids or baby? 你是否願意與小孩或嬰兒同房?
7. Do you have any food allergy? Pls. Specify 你是否有食物敏感？
8. Are you willing to take care of pets,i.e: dogs or cats? 你是否願意照顧狗或寵物?
9. Do you accept employer's home have CCTVs/ carmeras in a non-private area? 你能接受你的雇主在他們家的非私人區域安裝攝錄系統嗎？
10. Would you like to take care of people with disabilities, help them bathe, change diapers, defecate, accompany them to the hospital regularly, etc.? 你願意照顧殘疾人士, 幫他們洗澡, 換尿布, 排便, 定期陪同他們去醫院, 等等？
11. Do you ever been convicted of any crime or offense either in Hong Kong or elsewhere? 請問你是否有在香港或其他地方因任何罪行或違法行為被定罪？
Maid No 傭工編號: IND0016
Last Employer 上任僱主
Location 工作地點 INDONESIA Nationality of Employer 僱主國籍
No. of members 僱主家庭人數 3 Service Period 服務年限 2015 - 2017
Size of Flat 單位面積
Take care of babies 照顧嬰兒: NEW BORN
Take care of children 照顧小孩:
Take care of adult 照顧成人:
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他:
Go to market 街巿買餸
Car wash 洗車
Cooking 烹飪:
Reason of leaving 離職原因 FINISHED CONTRACT
Previous Employer 前任僱主
Location 工作地點 Nationality of Employer 僱主國籍
No. of members 僱主家庭人數 Service Period 服務年限 -
Size of Flat 單位面積
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩:
Take care of adult 照顧成人:
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他:
Go to market 街巿買餸
Car wash 洗車
Cooking 烹飪:
Reason of leaving 離職原因
Previous Employer 前任僱主
Location 工作地點 Nationality of Employer 僱主國籍
No. of members 僱主家庭人數 Service Period 服務年限 -
Size of Flat 單位面積
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩:
Take care of adult 照顧成人:
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他:
Go to market 街巿買餸
Car wash 洗車
Cooking 烹飪:
Reason of leaving 離職原因
Previous Employer 前任僱主
Location 工作地點 Nationality of Employer 僱主國籍
No. of members 僱主家庭人數 Service Period 服務年限 -
Size of Flat 單位面積
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩:
Take care of adult 照顧成人:
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他:
Go to market 街巿買餸
Car wash 洗車
Cooking 烹飪:
Reason of leaving 離職原因
Any information shown in this form is solely provided by the Helper, “TWINKLELAND” has sought the information as detailed and genuine as practicable within reasonable control. Clients should verify by themselves the related information during the interviews and screenings. No guarantee for the authenticity of the helpers' personal data is hereby given by “TWINKLELAND”.
此表的一切資料均由傭工提供, 本公司已力求詳盡真確，客戶需於面試及甄選過程中自行核實相關資料，本公司對傭工個人資料之真確性，並不作出任何保證。
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