重要提示 Important Notice 此表的一切資料均由傭工提供, 本公司已力求詳盡真確，客戶需於面試及甄選過程中自行核實相關資料，本公司對傭工個人資料之真確性，並不作出任何保證。Any information shown in this form is solely provided by the Helper, “Forever Sunshine Employment Agency Limited” has sought the information as detailed and genuine as practicable within reasonable control. Clients should verify by themselves the related information during the interviews and screenings. No guarantee for the authenticity of the helpers' personal data is hereby given by “Forever Sunshine Employment Agency Limited”.
| Maid number 傭工編號 |
INLF1208 |
Type of maid 傭工類型 |
Finish |
| Name 傭工姓名 |
UTAMI |
Finish contract date
完約日期 |
2025-04-03 |
| Nationality 國籍 |
Indonesian 印尼 |
Education 教育程度 |
Junior High School 初中 |
| Date of Birth 出生日期 |
1978 |
Religion 宗教 |
Hinduism 印度教 |
| Age 年齡 |
46 |
Weight 體重 |
64 kg |
| Marital Status 婚姻狀況 |
Single 單身 |
Height 高度 |
163 cm |
| Sibling 兄弟姊妹數目 |
1M, 1F |
Position in the family 在家排行 |
2 |
| Age of Son 兒子年齡 |
|
Age of Daughter 女兒年齡 |
0, Age ( ) |
|
|
|
沒有經驗
No experience |
有經驗
Experience |
| Taking care of babies 照顧嬰兒 |
|
|
| Taking care of children 照顧小童 |
|
|
| Taking care of elderly 老人護理 |
|
|
| Taking care of disable 照顧傷殘 |
|
|
| Cooking 烹飪 |
|
|
| House Work 家務 |
|
|
| Pet Care 照顧寵物 |
|
|
|
學習中
Learning |
中等
Average |
好
Good |
| Cantonese 廣東話 |
|
|
|
| English 英語 |
|
|
|
| Mandarin 普通話 |
|
|
|
Country Experience
地區工作經驗 |
Hong Kong 香港 |
6 |
Middle East 中東 |
|
Other 其他 |
| Singapore 新加坡 |
|
Saudi Arabia 沙特亞拉伯 |
|
|
| Taiwan 台灣 |
20 |
Indonesia 印尼 |
|
| Malaysia 馬來西亞 |
|
Philippines 菲律賓 |
|
|
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 |
| Location 工作地點 |
TSUEN WAN |
Working period 工作日期 |
8/2023 - 3/4/2025 |
| Size of house 單位面積 |
300 |
No of person served 僱主家庭人數 |
2 |
| Holiday arrangement 放假安排 |
SUNDAY |
No. of Maid in the family 傭工數目 |
1 |
| Last salary 工資 |
6000 |
Reason of leaving 離職原因 |
GF PASSED AWAY , GM MOVED TO ELDERLY HOME |
| Take care of babies 照顧嬰兒: |
|
| Take care of children 照顧小孩: |
|
| Take care of elderly 照顧老人: |
91GF/88GM |
| Take care of disabled 照顧傷殘: |
|
|
| House work 一般家務 |
| Share Room 與他人共用房間 |
| Pet Care 照顧寵物: |
|
| Other 其他: |
|
|
| Go to market 街巿買餸 |
| Car wash 洗車: |
|
| Cooking 烹飪: |
Chinese中 |
|
| Location 工作地點 |
TUEN MUM |
Working period 工作日期 |
7/2021 - 7/2023 |
| Size of house 單位面積 |
350 |
No of person served 僱主家庭人數 |
1 |
| Holiday arrangement 放假安排 |
SUNDAY |
No. of Maid in the family 傭工數目 |
1 |
| Last salary 工資 |
|
Reason of leaving 離職原因 |
FINISHED CONTACT (GF MVOED TO ELDERLY HOME) |
| Take care of babies 照顧嬰兒: |
|
| Take care of children 照顧小孩: |
|
| Take care of elderly 照顧老人: |
81GF |
| Take care of disabled 照顧傷殘: |
|
|
| House work 一般家務 |
| Share Room 與他人共用房間 |
| Pet Care 照顧寵物: |
|
| Other 其他: |
|
|
| Go to market 街巿買餸 |
| Car wash 洗車: |
|
| Cooking 烹飪: |
Chinese中 |
|
| Location 工作地點 |
YUEN LONG |
Working period 工作日期 |
7/2019 - 7/2021 |
| Size of house 單位面積 |
300 |
No of person served 僱主家庭人數 |
1 |
| Holiday arrangement 放假安排 |
SUNDAY |
No. of Maid in the family 傭工數目 |
1 |
| Last salary 工資 |
|
Reason of leaving 離職原因 |
FINISHED CONTRACT |
| Take care of babies 照顧嬰兒: |
|
| Take care of children 照顧小孩: |
|
| Take care of elderly 照顧老人: |
89GM |
| Take care of disabled 照顧傷殘: |
|
|
| House work 一般家務 |
| Share Room 與他人共用房間 |
| Pet Care 照顧寵物: |
|
| Other 其他: |
|
|
| Go to market 街巿買餸 |
| Car wash 洗車: |
|
| Cooking 烹飪: |
Chinese中 |
|
| 1. |
Do you accept your Holiday to be arranged on weekday sometimes?
是否願意在特別情況下，於平日放假 ? |
|
|
| 2. |
Do you eat pork?
是否吃豬肉 ? |
|
|
| 3. |
Do you accept to work in the employer's house equipped with camera recording system (for security purpose)?
你接受在配備攝錄系統(為保安用途)的僱主家中工作嗎? |
|
|
| 4. |
Can you promise not to use mobile phone during your working hours?
你答應在工作時間內不使用手提電話? |
|
|
| 5. |
Do you have any prolonged illness or undergone surgery? Pls specify:
你有沒有任何長期病患/ 做過手術嗎? 請說明 : |
|
|
| 6. |
Are you afraid of pets?
你害怕寵物嗎？ |
|
|
|
DECLARATION of HELPER / PERNYATAAN dari PEMBANTU / 傭工聲明 :
本人茲證明: 本人親自向永晴僱傭有限公司提供我的資料。在盡我所知及所信下, 此表(頁1,2) 上的資料是真實及正確的。如被證實有虛假資料，我將承擔全部責任。 / Saya MenyatakanBahwa : Saya PribadiMemberikanInformasi Saya Kepada FOREVER SUNSHINE EMPLOYMENT AGENCY LTD. Informasi Yang Diberikan Di Sini FormulirIni (halaman 1,2) AdalahBenar Dan TepatUntuk Yang Terbaik Dari Pengetahuan dan Keyakinansaya. Saya Akan BertanggungJawabPenuhJikaInformasiTerbuktiPalsu.
I certify that : I personally supplied my information to FOREVER SUNSHINE EMPLOYMENT AGENCY. The information furnished herein this form (page 1,2) is true and correct to the best of my knowledge and belief. I will take full responsibility if any information proves to be false.
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Helper’s Signature
Date: _______________________________
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