Maid No
傭工編號:		 IND-L-2683
Finish contract date
完約日期:		 2026-12-04
申請人資料 Applicant Information Sheet
Maid number 傭工編號 IND-L-2683 Finish contract date
完約日期		 2026-12-04
Name 姓名 WATI Type of maid 傭工類型 Local 現成
Nationality 國籍 Indonesian Religion 宗教 Muslim 回教
Date of Birth 出生日期 1975 / 兔 / 魔羯座 Age 年齡 50
Marital Status 婚姻狀況 Widowed 喪偶 Height 高度 155 cm
Education 教育程度 Senior High School 高中 Weight 體重 67 kg
Sibling 兄弟姐妹數目 0 Age of children 子女年齡 女兒Daughter ( 1 ), Age ( 20 )
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 (3-12)
Care of Elderly 照顧老人
Care of Disable 照顧傷殘人士
Care of Bedridden 照顧卧床人士
Care of Pet 照顧寵物
Household Work 家務
Car Washing 洗車
Gardening 打理花園
Cooking 烹飪
Driving 駕駛
Language Ability 語文能力
學習中
Learning		 中等
Average		 好
Good		 Remark 備註 (評語只供參考)
Cantonese 廣東話
English 英語
Mandarin 普通話
Overseas Experience 海外工作經驗
Country Experiene
地區工作經驗		 Hong Kong 香港 14  Middle East 中東   Other 其他
Singapore 新加坡   Saudi Arabia 沙特亞拉伯    
Taiwan 台灣 4  Indonesia 印尼  
Malaysia 馬拉  2  Philippines 菲律賓   
Duties Priority 工作意向
Taking care of babies 照顧嬰兒 Taking care of elderly 老人護理 Pet Care 照顧寵物
Taking care of children 照顧小童 Taking care of disable 照顧傷殘 Cooking 烹飪
Maid No 傭工編號: IND-L-2683
Last Employer 上任僱主
Location 工作地點 NORTH POINT Working period 工作日期 2020-12-04 - 2026-12-04
Size of house 單位面積 1500 No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH CONTRACT / ER NO MORE NEED HELPER
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人: 52 ,54
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 WHAMPOA Working period 工作日期 2020-03 - 2020-11
Size of house 單位面積 800 No of person served 僱主家庭人數 3
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH/ FINANCIAL PROBLEM/ COVID
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人: 60,65
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 POK FU LAM Working period 工作日期 2018-01 - 2020-01
Size of house 單位面積 5000 No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH CONTRACT /ER NO MORE NEED HELPER
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人: 57,60
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 NORTH POINT Working period 工作日期 2014-01 - 2018-01
Size of house 單位面積 3000 No of person served 僱主家庭人數 2
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH CONTRACT /ER MOVE TO CHINA
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人: 70,75
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 TAI KOO SHING Working period 工作日期 2012-01 - 2013-01
Size of house 單位面積 900 No of person served 僱主家庭人數 5
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 ER GO TO ELDERY HOUSE
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人:
Care of Disabled 照顧傷殘: 80 GRANDMA
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 HANG HAU Working period 工作日期 2010-01 - 2012-01
Size of house 單位面積 400 No of person served 僱主家庭人數 3
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH / MADAM NO WORK TAKE CR KID BY HERSELF
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12): 4 YO GIRL
Care of Elderly 照顧老人:
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 TAIWAN Working period 工作日期 2004-01 - 2008-01
Size of house 單位面積 No of person served 僱主家庭人數 6
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH / GO HOME
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12):
Care of Elderly 照顧老人: 70,80
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Previous Employer 前任僱主
Location 工作地點 MALAYSIA Working period 工作日期 2002-01 - 2004-01
Size of house 單位面積 No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISH CONTRACT
Care of Baby 照顧嬰兒:
Care of Toddler 照顧幼兒(1-3):
Care of Child 照顧小孩(3-12): 6,8
Care of Elderly 照顧老人:
Care of Disabled 照顧傷殘:
Care of Bedridden 照顧卧床:
House work 一般家務
Hand-Washing Clothes 手洗衣服
Share Room 與他人共用房間
Pet Care 照顧寵物:
Cooking 烹飪: Chinese中
Go to market 街巿買餸
Gardening 打理花園
Car wash 洗車
Driving 駕駛
Other 其他:
Other Question 其他問題 Y是/N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)
Would you agree to do extra work ? 願意在有需要時接受額外工作 ?
6)
If your employer asked you to work on your holidays and is willing to pay as compensation, are you willing to do so ? 若僱主要求你在假期工作並願意支付薪金代替假期，你是否願意 ?
7)
Do you eat pork ? 你是否吃豬肉 ?
8)
Can you cook or handle pork ? 你是否願意接觸或處理豬肉 ?
9)
Are you willing to live with the elderly ? 是否願意與老人同住 ?
10)
Are you willing to work for a family without your own servant room ? 是否願意在沒有獨立工人房之家庭工作 ?
11)
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 ?
12)
Are you afraid of dog ? 你是否怕狗 ?
13)
Do you got experience to take care of dogs or pets ? 你有照顧狗或其他寵物的經驗 ?
14)
Are you willing to take care of big dogs / big pets ? 你是否願意照顧大狗 / 大體型之寵物 ?
15)
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)
16)
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)
17)
Are you physically handicapped such as your hands, arms, feet, legs or any other parts of your body ? 你是否有缺陷，例如︰手、臂、腳、大腿或其他身體部份 ?
18)
Have you suffered from mental or health problems in your nervous system, eyes, ears or other serious illness ? Please specify other health problems: 你是否患有精神或健康問題在神經系統、眼睛、耳朵或嚴重 / 長期疾病嗎 ? 如答是，請詳述︰
19)
Do you have Tattoos? 你身上是否有紋身?
20)
Do you have any labor case or police case ? 你有沒有勞工案件或刑事案件 ?
21)
Are you agreeing employer works regulation ? 你是否願意遵守僱主的工作條例 ?
22)
Have you done Covid-19 Vaccination yet? 你是否已打Covid-19新冠肺炎疫苗了嗎?
Important Notice / Declaration of Applicant : I understand and consent that all personal data provided in this form will be used by "Cheers Employment Limited" to help me find employment as a foreign domestic helper in Hong Kong. My personal data may be displayed on the agency's website or branches for this purpose and may also be shared with government departments for legal compliance. I hereby declare that all personal data/all information given in this document and in any documents attached is true, correct and complete. In case of inaccuracy, the applicant must bear all legal liabilities.
重要提示 / 申請人聲明︰本人明白並同意，歡欣僱傭可使用上述本表格內的個人資料，為本人在香港擔任外籍家庭傭工尋找僱主。個人資料或會張貼、展示於網站及分店供訪客查閱，並可能用於協助政府部門執行相關法例。 本人特此聲明，本表格及所附任何文件中提供的所有個人資料/所有信息均屬真實、正確和完整。 如有不實之處, 申請人必須承擔所有法律責任。
WATI