Maid No
傭工編號:		 IND-L-1280
Finish contract date
完約日期:		 2025-06-28
申請人資料 Applicant Information Sheet
Maid number 傭工編號 IND-L-1280 Finish contract date
完約日期		 2025-06-28
Name 姓名 NINIS 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 1980 / 猴 / 射手座 Age 年齡 44
Marital Status 婚姻狀況 Married 已婚 Height 高度 148 cm
Education 教育程度 Junior High School 初中 Weight 體重 55 kg
Sibling 兄弟姐妹數目 4 Age of children 子女年齡 女兒Daughter ( 1 ), Age ( 15 )
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 8  Middle East 中東   Other 其他
Singapore 新加坡   Saudi Arabia 沙特亞拉伯    
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
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-1280
Last Employer 上任僱主
Location 工作地點 HUNG HOM Working period 工作日期 2023-06 - 2025-06
Size of house 單位面積 450 No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 5000 Reason of leaving 離職原因 FINISHED 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): 4 YO TO 6 YO BOY
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 KWAI HING Working period 工作日期 2006 - 2008
Size of house 單位面積 400 No of person served 僱主家庭人數 2
Holiday arrangement 放假安排 YES No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISHED 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):
Care of Elderly 照顧老人: 64 YO POPO
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 MEI FOO Working period 工作日期 2004 - 2006
Size of house 單位面積 700 No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISHED 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):
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 TSEUNG KWAN O Working period 工作日期 2002 - 2004
Size of house 單位面積 500 No of person served 僱主家庭人數 3 PERSON
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISHED 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): 9 YO BOY
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 accept your holiday to be arranged on weekday "sometimes"? 你願意接受在特別情況下, 於平日放假嗎?
2)
Do you eat pork? 你是否吃豬肉？
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）
4)
Are you willing to take care of a disabled person? 你願意照顧殘障人士嗎？
5)
Did your previous job require you to cook? 你之前工作需要煮食嗎？
6)
Do you drink alcohol or smoke regularly? 你是否有吸煙或飲酒的習慣？
7)
Do you have tattoos? 你身上是否有紋身？
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：_______
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。