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| Application Information Sheet 申請人資料 | |||||
| Name姓名 | DALIA | Age年齡 | 40 years old / 豬 / 魔羯座 | ||
| Nationality國籍 | Filipino | Date of Birth出生日期 | 1984 | ||
| Gender性別 | F | Marital Status婚姻狀況 | Married | ||
| Education學歷 | Height身高 | 5'4 inch | |||
| Religion宗教 | Weight體重 | 70 kg | |||
| In the Family No.在家排行 | Son / Age兒子數目/年齡 | / Yrs歲 | |||
| Brother / Sister兄弟姊妹 | / | Daughter / Age女兒數目/年齡 | / Yrs歲 | ||
| Address地址 | |||||
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| Previous Employment Record 工作紀錄 1 | |||||
| Country 工作地點 | UNITED ARAB EMIRATES | Salary 薪金 | |||
| Duration 工作期間 | 11/2012 - 12/2014 | Total people to served 總服務人數 | |||
| Terminationreason 離開原因 | FINISH CONTRACT | ||||
| Care of Baby | 照顧嬰身 | 個月 | Care of Toddler | 照顧幼兒(1-3) | Yrs歲 | ||||
| Care of Child | 照顧小孩(4-12) | Yrs歲 | Care of Elderly | 照顧老人 | Yrs歲 | ||||
| Care of Disabled | 照顧殘疾人士 | Yrs歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | Household Works | 家務 | ||||||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Previous Employment Record 工作紀錄 2 | |||||
| Country 工作地點 | UNITED ARAB EMIRATES | Salary 薪金 | |||
| Duration 工作期間 | 03/2010 - 09/2012 | Total people to served 總服務人數 | 3 | ||
| Terminationreason 離開原因 | FINISH CONTRACT | ||||
| Care of Baby | 照顧嬰身 | NEW BORN | 個月 | Care of Toddler | 照顧幼兒(1-3) | Yrs歲 | |||
| Care of Child | 照顧小孩(4-12) | Yrs歲 | Care of Elderly | 照顧老人 | Yrs歲 | ||||
| Care of Disabled | 照顧殘疾人士 | Yrs歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | Household Works | 家務 | ||||||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Previous Employment Record 工作紀錄 3 | |||||
| Country 工作地點 | SINGAPORE | Salary 薪金 | |||
| Duration 工作期間 | 11/2006 - 03/2008 | Total people to served 總服務人數 | 4 | ||
| Terminationreason 離開原因 | FINISH CONTRACT | ||||
| Care of Baby | 照顧嬰身 | 個月 | Care of Toddler | 照顧幼兒(1-3) | Yrs歲 | ||||
| Care of Child | 照顧小孩(4-12) | Yrs歲 | Care of Elderly | 照顧老人 | Yrs歲 | ||||
| Care of Disabled | 照顧殘疾人士 | Yrs歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | Household Works | 家務 | ||||||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Educational Background 學歷背景 | |||
| Level 程度 | Name of school 學校名稱 | Period 就讀期間 | Qualification attainment 獲取名銜 |
| High School 高中 | MATAAS NA PAARALANG JUAN C. LAYA | 1997 - 2001 | GRADUATED |
| College/University 大學 | - | ||
| Courses Studies 其他課程 | CITY COLLEGE OF URDANETA | 2001 - 2004 | MIDWIFERY |
| Special Training 其他學歷 | - | ||
| Supplementary Questions 附加問題 | Yes 是 | No 否 | ||
| 1. | Do you eat pork? 你會否食豬肉? |
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| 2. | Accept Day-off not on Sunday? 接受假日不在星期日? |
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| 3. | Sharing a room with babies / children / elder? 你願意和小孩/嬰兒/長者同房嗎? |
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| 4. | Are you afraid of dog or cat? 你會害怕狗或貓? |
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| 5. | Do you smoke? 你會抽煙嗎? |
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| 6. | Do you drink alcohol? 你會喝酒嗎? |
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| 7. | Have you any prolonged illnesses / undergone surgery? If Yes: 你有任何長期的疾病/做過手術嗎? |
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| 8. | Are you willing to share job with another worker? 你是願意與其他工人一起工作? |
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Declaration by Applicant
| I agree and will be responsible for any publication of above information. I hereby confirm that all information and answer give to me is to the best of my knowledge. “The applicant gives all information with No responsibility holding by our company.” “以上資料由申請者提供, 任何法律責任與本公司無關。” |
| Signature of Applicant: | Date: |
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