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| 申請人資料 Applicant Information Sheet | |||
| Maid number 傭工編號 | IND-L-1265 | Finish contract date 完約日期 |
2025-07-24 |
| Name 姓名 | UMI | 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 | 1984 / 鼠 / 雙子座 | Age 年齡 | 40 |
| Marital Status 婚姻狀況 | Widowed 喪偶 | Height 高度 | 153 cm |
| Education 教育程度 | Junior High School 初中 | Weight 體重 | 46 kg |
| Sibling 兄弟姐妹數目 | 3 | Age of children 子女年齡 | 兒子Son ( 2 ), Age ( 17, 11 ) |
| Working Experience 工作經驗 |
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| 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) |  |
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| 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 | |
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| Car Washing | 洗車 | |
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| Gardening | 打理花園 | |||
| Cooking | 烹飪 | |
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| 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)
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| Cantonese 廣東話 | |
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| English 英語 | |
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| Mandarin 普通話 | ||||
| Overseas Experience 海外工作經驗 | |||||
| Country Experiene 地區工作經驗 |
Hong Kong 香港 | 9 | Middle East 中東 | Other 其他 | |
| Singapore 新加坡 | Saudi Arabia 沙特亞拉伯 | 4 | |||
| Taiwan 台灣 | Indonesia 印尼 | ||||
| Malaysia 馬拉 | 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 | |
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Taking care of children 照顧小童 | Taking care of disable 照顧傷殘 | |
Cooking 烹飪 | |
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| Last Employer 上任僱主 | ||||||||||||||||||||||||||||||||||
| Location 工作地點 | TAI PO | Working period 工作日期 | 2023-07-23 - 2025-07-23 | |||||||||||||||||||||||||||||||
| Size of house 單位面積 | No of person served 僱主家庭人數 | 03 | ||||||||||||||||||||||||||||||||
| 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 | ||||||||||||||||||||||||||||||||
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Care of Baby 照顧嬰兒:
Care of Child 照顧小孩(3-12):| Previous Employer 前任僱主 | ||||||||||||||||||||||||||||||||||
| Location 工作地點 | YAU MA TEI | Working period 工作日期 | 2016-05 - 2023-05 | |||||||||||||||||||||||||||||||
| Size of house 單位面積 | No of person served 僱主家庭人數 | 03 | ||||||||||||||||||||||||||||||||
| 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 / ER GO TO CANADA | ||||||||||||||||||||||||||||||||
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| Previous Employer 前任僱主 | ||||||||||||||||||||||||||||||||||
| Location 工作地點 | SAUDI ARABIA | Working period 工作日期 | 2010-01 - 2014-01 | |||||||||||||||||||||||||||||||
| Size of house 單位面積 | No of person served 僱主家庭人數 | 06 | ||||||||||||||||||||||||||||||||
| 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 | ||||||||||||||||||||||||||||||||
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| Other Question 其他問題 | Y是/N否 |
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1)
Do you accept your holiday to be arranged on weekday 你願意接受在特別情況下, 於平日放假嗎?
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2)
Do you eat pork? 你是否吃豬肉？
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3)
Are you willing to take care of pets (e.g. dogs or cats) ? 是否願意照顧寵物？ （例如狗或貓）
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4)
Are you willing to take care of a disabled person? 你願意照顧殘障人士嗎？
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5)
Did your previous job require you to cook? 你之前工作需要煮食嗎？
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6)
Do you drink alcohol or smoke regularly? 你是否有吸煙或飲酒的習慣？
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7)
Do you have tattoos? 你身上是否有紋身？
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8)
Have you suffered from prolonged illnesses or undergone surgery? Please specify: _______ 你有任何長期的疾病/做過手術嗎？如答是，請詳述：_______
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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。
UMI