Personal Data 個人紀錄     Ref.NO.編號: SWD 001

Name 傭工姓名	SWD 001	Nationality 國籍	Indonesian
Place of Birth 出生地點	PONOROGO	Ages 年齡	21
Marital Status 婚姻狀況	Single	Date of birth 出生日期	2004 / 猴 / 金牛座
Religion 宗教	Muslim	Sex 性別	Female
Educational Details 學歷	Senior High School	Height 身高	164 cm
Language spoken 語言能力		Weight 體重	58 kg
Chinese Horoscope 生肖	猴	Province 省	JAWA TIMUR
Personality 性格		Passport 護照
Remark:		HK driver's license 香港駕駛執照	NO

No. of Brother 兄弟數目		No. of Children 子女數目/年齡		Ages of Father 父親年齡
No. of Sister 姊妹數目		In the Family,ranking of sibling在家排行	1	Ages of Mother 母親年齡

1.

Residence of Employer 工作地區	INDONESIA	From 由	2022	To 至	2025
Job Description No. () Care of new-born babies 照料初生嬰兒 Ages 歲數: No. (2) Care of young children 照顧小孩 Ages 歲數: 3 Y/ 2 Y/O No. (1) Care of elderly 照顧老人 / disabled 傷殘 Ages 歲數: 67 Y/O GRANDMA HEALTHY Remarks: No. (2) Care of adult 照顧成人 Employer Nationality 僱主國籍: INDONESIAN Other duites 其他工作 YES House Cleaning 清潔房屋 YES Doing the laundries洗衫 YES Ironing 熨衫 Cooking Chinese Food 烹飪中國菜 Cooking Western Food 烹飪西餐 Car Washing 洗車 Share work with another helper 與其他傭工一齊工作 If yes, how many? YES Own room獨立房 Taking care of pets 照顧寵物 what pet? Share room with與他人同房 Reason of Leave 離職原因: WORK 3 YRS Car driving 駕駛車輛 Model: 型號

2.

Residence of Employer 工作地區		From 由		To 至
Job Description No. () Care of new-born babies 照料初生嬰兒 Ages 歲數: No. () Care of young children 照顧小孩 Ages 歲數: No. () Care of elderly 照顧老人 / disabled 傷殘 Ages 歲數: Remarks: No. () Care of adult 照顧成人 Employer Nationality 僱主國籍: Other duites 其他工作 House Cleaning 清潔房屋 Doing the laundries洗衫 Ironing 熨衫 Cooking Chinese Food 烹飪中國菜 Cooking Western Food 烹飪西餐 Car Washing 洗車 Share work with another helper 與其他傭工一齊工作 If yes, how many? Own room獨立房 Taking care of pets 照顧寵物 what pet? Share room with與他人同房 Reason of Leave 離職原因: Car driving 駕駛車輛 Model: 型號

3.

Residence of Employer 工作地區		From 由		To 至
Job Description No. () Care of new-born babies 照料初生嬰兒 Ages 歲數: No. () Care of young children 照顧小孩 Ages 歲數: No. () Care of elderly 照顧老人 / disabled 傷殘 Ages 歲數: Remarks: No. () Care of adult 照顧成人 Employer Nationality 僱主國籍: Other duites 其他工作 House Cleaning 清潔房屋 Doing the laundries洗衫 Ironing 熨衫 Cooking Chinese Food 烹飪中國菜 Cooking Western Food 烹飪西餐 Car Washing 洗車 Share work with another helper 與其他傭工一齊工作 If yes, how many? Own room獨立房 Taking care of pets 照顧寵物 what pet? Share room with與他人同房 Reason of Leave 離職原因: Car driving 駕駛車輛 Model: 型號

Supplementary Questions 補充問題	Yes 是	No 否

If your holiday not on Sunday do you agree? 若假期不在星期日，你是否願意?
If your employer asked you to work on your rest day and is willing to pay as compensation, are you willing to do so? 若僱主要求你在休息日工作並願意支付薪金代替，你是否願意?
Are you willing to work for a family without your own room? 你是否願意在沒有獨立房間的家庭工作?
Are you willing to share work with another helper? 你願意和其他傭工一齊工作嗎?
Are you willing to take care new born baby? 你願意照顧初生嬰兒嗎?
Are you willing to take care elderly person? 你願意照顧老人家嗎?
Do you eat pork? 你是否吃豬肉?
Are you willing to take care pets(dogs or cats)? 你願意照顧寵物(貓或狗)嗎?
Are you wearing glasses? 你是否戴眼鏡?
Do you smoke? 你是否吸煙?
Do you have tattoo? If yes, which area of your body? 你有紋身嗎?
Do you have any chronic illnesses that require medication 你有否長期疾病而需要食藥嗎?
Are you allergic to anything particularly Pet and food? If so, please explain in details. 你對任何東西特別是寵物和食物過敏嗎？如果有，請詳細說明。

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