Finish contract date
完約日期:
Maid No
傭工編號:
Type of maid
傭工類型:
Filipino
Personal Data 個人紀錄
Name 姓名 AMER
Date of Birth 出生日期 1969 Age 年齡 55
Place of Birth 出生地點 BALIWAG BULACAN Sex 性別 F
Chinese Horoscope 生肖 Education 學歷 Junior High School
Religion 宗教 Christian Weight 體重 55 kg
Marital Status 婚姻狀況 Married Height 高度 5/2 cm
Address 地址 180 A MABINI ST.SABANG, BALIWAG, BULACAN.
Family Background 家庭背景
Father's Name 父親姓名 ROGELIO N PILE Occupation 父親職業 FARMERS
Mother's Name 母親姓名 TERESITA V.QUIZON Occupation 母親職業 HOUSE WIFE
Name of Spouse 配偶姓名 RODEL M.DE LEON Occupation 配偶職業 BUSINESS
No. of Sister 姊妹數目 03 No. of Children 子女數目 1
No. of Brother 兄弟數目 06 Ages of Children 子女年齡
In the Family, I am No 在家排行 1
Experienced in Following Countries 海外經驗
Hong Kong 香港 2010 Malaysia 馬來西亞 Indonesia 印尼
Singapore 新加坡 Middle East 中東 Philippines 菲律賓
Taiwan 台灣 Other 其他
Interview Appraisal 面試評價

Poor

Average

Good

Excellent
Babies Caring
護理嬰兒
Children Caring
護理兒童
Care of Elder/Disabled
護理老人/傷殘
Household Works
家務
Cooking
烹飪
Care of Pets
照顧寵物
Spoken English
能操英語
Spoken Cantonese
能操廣東話
Spoken Mandarin
能操普通語
Remarks
備註

 
Maid No 傭工編號:
Domestic Employment Records 工作紀錄 (Form recent year on work 由最近期開始)
1. Country 國家 Nationality of Employer 僱主國籍 From DD/MM/YYYY 由 To DD/MM/YYYY 至
LAI CHI KOK RD.  CHENISE  2009-03  2011-03 
Care of new-born babies 照料初生嬰兒 Ages 歲數 NEW BORN
Care of young children 照顧小孩 Ages 歲數 2YRS OLD
Care of adults 照顧成人 Ages 歲數
Care of elderly 照顧老人 Ages 歲數
Care of disabled 照顧傷殘 Ages 歲數
Care of pets 照顧寵物
House Cleaning 清潔房屋 Doing the laundries 洗衫 Ironing 熨衫
Cooking 烹飪 Chinese Food 中國菜 Western Food 西餐
Car Washing 洗車 Marketing 買餸 Other 其他:
2. Country 國家 Nationality of Employer 僱主國籍 From DD/MM/YYYY 由 To DD/MM/YYYY 至
SOUTH HORIZON  CHINESE  2011-08  2021-09 
Care of new-born babies 照料初生嬰兒 Ages 歲數 NEW BORN
Care of young children 照顧小孩 Ages 歲數 2YRS OLD
Care of adults 照顧成人 Ages 歲數
Care of elderly 照顧老人 Ages 歲數
Care of disabled 照顧傷殘 Ages 歲數
Care of pets 照顧寵物
House Cleaning 清潔房屋 Doing the laundries 洗衫 Ironing 熨衫
Cooking 烹飪 Chinese Food 中國菜 Western Food 西餐
Car Washing 洗車 Marketing 買餸 Other 其他:
3. Country 國家 Nationality of Employer 僱主國籍 From DD/MM/YYYY 由 To DD/MM/YYYY 至
TSUEN WAN  CHINESE  2021-11  2021-01 
Care of new-born babies 照料初生嬰兒 Ages 歲數
Care of young children 照顧小孩 Ages 歲數 12YRL OLD AND 17YRS OLD
Care of adults 照顧成人 Ages 歲數
Care of elderly 照顧老人 Ages 歲數
Care of disabled 照顧傷殘 Ages 歲數 17YRL OLD
Care of pets 照顧寵物
House Cleaning 清潔房屋 Doing the laundries 洗衫 Ironing 熨衫
Cooking 烹飪 Chinese Food 中國菜 Western Food 西餐
Car Washing 洗車 Marketing 買餸 Other 其他:
Duties I Can Do Best 我最擅長之工作
Care of new-born babies 照料初生嬰兒 Cleaning 清潔 Washing 洗衫
Care of young children 照顧小孩 Cooking 煮食 Ironing 熨衫
Care of elderly person 照顧老人 Care of Pets 照顧寵物
Care of Disabled 照顧傷殘人士 Gardening 打理花園
Tutoring Children English or simple homework 教授小孩
Supplementary Questions 附加問題 Yes 是 No 否
1. Do you smoke?
你是否吸煙?
2. Do you drink alcohol?
你是否喝酒?
3. Can you drive?
你會否駕駛?
4. If your holiday not on Sunday do you agree?
若假期不在星期日,你是否願意?
5. Do you have an infection skin disease?
你有沒有感染的皮膚病?
6. Are you willing to take care of children no matter how many the family has?
無論僱主有多少個孩子,你也願意照顧?
7. Do you have all complete and normal body?
你有完整和正常身體?
8. Would you agree to do extra work?
你會同意做額外的工作?
9. Living with elderly person?
你願意與長者生活?
10. Are you willing to work for a family without your own room?
你是否願意沒有自己的獨立房間?
11. If your employer asked you to work on your holidays and is willing to pay compensation, are you willing to do so?
如果你的老闆要求你的假期需要工作,並願意賠償,你是否願意這樣做呢?
12. Do you eat pork?
你會否食豬肉?
13. Can you handle pork?
你能否烹調豬肉菜式?
14. Are you afraid of dogs?
你怕狗嗎?
15. Are you willing to take care of dogs?
你願意照顧狗隻嗎?
16. Are you willing to work with other helper?
你願意與其他傭人一起工作?
17. Are you willing to take care of disabled elderly, help them to take a bath, change diaper, help them to go to toilet, and accompany to hospital? Grandpa
你是否願意照顧傷殘老人,幫助他們洗澡,換尿片,大小便及到醫院? 公公
18. Are you willing to take care of disabled elderly, help them to take a bath, change diaper, help them to go to toilet, and accompany to hospital? Grandma
你是否願意照顧傷殘老人,幫助他們洗澡,換尿片,大小便及到醫院? 婆婆

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 Maidsmore Employment Agency Limited.”
“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: