Maid No
傭工編號:
PH1502
Type
類別:
Oversea
Application Information Sheet 申請人資料
Name姓名 CASWITI Age年齡 35 years old / 牛 / 巨蟹座
Nationality國籍 Indonesian Date of Birth出生日期 1985
Gender性別 F Marital Status婚姻狀況 Married
Education學歷 Junior High School 初中 Height身高 165 cm
Religion宗教 Moslem 回教 Weight體重 77 kg
In the Family No.在家排行 1 Son / Age兒子數目/年齡 / Yrs歲
Brother / Sister兄弟姊妹 / 1 Daughter / Age女兒數目/年齡 1 / 1.5Yrs歲
Address地址
Working Experience 工作經驗
Care of Baby 照顧嬰兒
Care of Toddler 照顧幼兒 (1-3)
Care of Child 照顧小孩 (4-12)
Care of Elderly 照顧老人
Care of Disabled 照顧傷殘人士
Care of Bedridden 照顧卧床人士
Care of Pet 照顧寵物
Household Works 家務
Car Washing 洗車
Cooking 烹飪
Driving 駕駛
Overseas Experience 海外工作經驗
Hong Kong 香港
Singapore 新加坡
Taiwan 台灣 8.2
Malaysia 馬來西亞
Middle East 中東
Other 其他
Home Country 原住地
Language Ability 語文能力
Learning
學習中
Fair
Good
Cantonese 廣東話
English 英語
Mandarin 普通話
Remark 備註
在TW照顧老人要換尿片幫老人家沖涼 
Maid No 傭工編號: PH1502
Previous Employment Record 工作紀錄 1
Country 工作地點 TAIWAN Salary 薪金
Duration 工作期間 2008 - 2011 Total people to served 總服務人數 7
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 86 Yrs歲 Care of Bedridden 照顧卧床人士 86
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 TAIWAN Salary 薪金
Duration 工作期間 2012 - 2015 Total people to served 總服務人數 4
Terminationreason 離開原因 DUE ELDERLY PASSED AWAY
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 83 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 TAIWAN Salary 薪金
Duration 工作期間 2016 - 2019 Total people to served 總服務人數 2
Terminationreason 離開原因 DUE ELDERLY PASS AWAY
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 91 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 -
College/University 大學 -
Courses Studies 其他課程 -
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?
2. Accept Day-off not on Sunday?
接受假日不在星期日?
3. Sharing a room with babies / children / elder?
你願意和小孩/嬰兒/長者同房嗎?
4. Are you afraid of dog or cat?
你會害怕狗或貓?
5. Do you smoke?
你會抽煙嗎?
6. Do you drink alcohol?
你會喝酒嗎?
7. Have you any prolonged illnesses / undergone surgery? If Yes:
你有任何長期的疾病/做過手術嗎?
8. Are you willing to share job with another worker?
你是願意與其他工人一起工作?

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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