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| PERSONAL DETAILS 個人資料 | |||||||
| Applicant Number | 申請人編號 | IND0028 | |||||
| Name | 姓名 | NUR WAHYUNI | |||||
| Date of birth | 出生日期 | 1989 | |||||
| Age | 年齡 | 36 | |||||
| Nationality | 國藉 | INDONESIAN 印尼 | |||||
| Marital status | 婚姻狀況 | SINGLE 單身 | |||||
| Religion | 宗教 | MUSLIM 回教 | |||||
| Height | 身高 | 155 cm | |||||
| Weight | 體重 | 65 kg | |||||
| Chinese Horoscpoe | 生肖 | 蛇 | |||||
| Name of Father | 父親姓名 | BP TASEMI | Age | 84 | |||
| Name of Mother | 母親姓名 | B. PATEMI | Age | 71 | |||
| Name of Husband | 丈夫姓名 | Age | |||||
| No of Children | 子女數目 | Age | |||||
| No of Brother | 兄弟數目 | Age | |||||
| No of Sister | 姐妹數目 | 2 | Age | 44, 42 | |||
| Address | 地址 | ||||||
| EDUCTATION BACKGROUND 教育程度 |
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| LANGUAGE SPOKEN 能操語言 |
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| DOMESTIC WORK EXPERIENCE AND ABILITY 工作經驗及能力 |
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| PERSONAL IN DEPTH EVALUATION OF SPECIAL SKILLS |
| ACCEPTANCE OF TASK | Yes | No | |
| 1. | Baby Care (0-12 months) 照顧嬰兒 | ||
| 2. | Changing the diaper 換尿片 | ||
| 3. | Feeding the baby 餵嬰兒 | ||
| 4. | Bath the baby 給嬰兒洗澡 | ||
| 5. | Child Care (over 3 years) 照顧小童(3歲以上) | ||
| 6. | Playing with the children 和小童一起玩 | ||
| 7. | Tutoring the children 教導小童 | ||
| 8. | Special care for abnormal / retard special children 照顧傷健 / 特殊兒童 | ||
| 9. | Elderly Care 照顧老人 | ||
| 10. | Elderly Care (Disabled) 照顧傷健老人 | ||
| 11. | Washing the clothes by hand 用手洗衣服 | ||
| 12. | Cooking Chinese food 烹飪中國菜 | ||
| 13. | Marketing 街市買菜 | ||
| 14. | Caring the pets 照顧寵物 | ||
| 15. | Gardening 園藝 | ||
| PERSONAL INFORMATION | |||
| 1. | Do you eat Chinese food? 你吃中國菜嗎? | ||
| 2. | Do you eat Western food? 你吃西餐嗎? | ||
| 3. | Do you smoke? 你抽煙嗎? | ||
| 4. | Do you drink alcohol? 你喝酒嗎 ? | ||
| 5. | Do you accept the salary instead of the rest day? 你是否接受以工資代替休息日嗎? | ||
| 6. | Do you accept your day off is NOT on Saturday or Sunday? 你是否接受你的休息日不在星期六/日? | ||
| 7. | Are you willing to follow the code of discipline drawn up by your agency? 你是否願意遵守你的代理制定的紀律守則? |
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| 8. | Are you willing to perform multiple tasks in one time? 你是否願意一次執行多個任務? | ||
| 9. | Are you afraid of dog or any pets? 你害怕狗或者其他寵物嗎? | ||
| 10. | Are you willing to accept that the flexible arrangement of schedule of work? 你是否願意接受工作時間表的靈活安排? |
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| 11. | Are you willing to bath in the evening? 你願意在晚上洗澡嗎? | ||
| 12. | Are you willing to wash the clothes by hand? 你願意用手洗衣服嗎? | ||
| 13. | Are you willing to sleep late because of abundance of work? 你是否願意因工作繁忙而晚睡? | ||
| 14. | Are you willing to eat noodles and no rice at times? 你願意吃麵條,如當時沒有米飯嗎? | ||
| 15. | Do you suffer from any allergy, if so, what is it? 你是否患有過敏症?如果是,那是什麼? | ||
| 16. | Are you willing wake up according to employer request? 你願意按照僱主的要求起床嗎? | ||
| 17. | Are you willing to work in a family of more than 5 people? 你願意在5人以上的家庭工作嗎? | ||
| 18. | Are you willing to bathe or change the diaper of the elderly? 你願意為老人洗澡或換的尿片嗎? | ||
| 19. | Are you willing to seek permission from employer before using the cellular phone? 在使用手機之前是否願意徵得僱主的同意? |
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| 20. | Have you suffered from any serious illness before? 你以前患過嚴重的疾病嗎? | ||
| 21. | Are you willing to cut your hair short? 你是否願意剪短頭髮? | ||
| 22. | Are you willing to be “Honest” at all times? 你是否願意所有時間均保持“誠實”? | ||
| 23. | Are you willing to work w/out make up and avoid wearing sexy clothes at work? 你是否願意上班時間不化粧及不穿性感的衣服? |
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| SELF RECOMMENDATION |
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Dear Employer, GO DOWN ON 10/11/2026
My name NUR WAHYUNI. I declare that all the written and given information are true and correct. I accept that I will be repatriate back to country of original at may own expenses. If I have ever given and untruthful information unlawfully. |
All information in the form are provided by the Overseas Training School or the maid herself, it's for reference purpose.
