Maid No 傭工編號: FBT-65 (EXP-HK-ELDERLY ) Type of maid 傭工類型: Overseas

申請人資料 APPLICANT'S INFORMATION SHEET
傭工姓名 Name	JULIANA
傭工編號 Maid number	FBT-65 (EXP-HK-ELDERLY )	傭工類型 Type of maid	Overseas
性別 Sex	Female	國籍 Nationality	Indonesian
年齡 Age	42YO	出生日期 Date of birth	1984
高度 Height	157 cm	體重 Weight	75 kg
宗教 Religious	Christian	婚姻狀況 Marital Status	Married
學歷 Education	Senior High School	子女數目及年齡 No of child. & ages	Son ( 1 ), Age ( 11Y ) Daughter ( 1 ), Age ( 19Y )
家中排行 The order in family	3	丈夫年齡及職業 spouse’s age & occupation	44Y KARYAWAN SWASTA
兄妹人數 No. of siblings	4	離開前僱主日期 Release Date	2024-05-21

語言能力 LANGUAGE 學習中 Learning 一般 Fair 好 Good 流利 Fluent 英語 English 廣東話 Cantonese 普通話 Mandarin

傭工經驗 WORKING EXPERIENCE 香港 Hong Kong 3 YRS, 3 MHS  中東 Middle East   新加坡 Singapore   沙特亞拉伯 Saudi Arabia   台灣 Taiwan   印尼 Indonesia   馬來西亞 Malaysia    菲律賓 Philippines    其他 Other

工作技能WORKING SKILLS
照顧嬰幼兒 Care of new-born babies		買餸 Go to market		照顧寵物 Care of Pets
照顧小孩 Care of young children		烹飪 Cooking		洗車 Car Washing
照顧老人 Care of elderly person		家居清潔 Cleaning		打理花園 Gardening
照顧殘疾 Care of Disabled		洗熨衣服 Washing & Ironing		其他 Others

評價 REMARKS

-SHE CAN SPEAK BASIC CANTONESE AND LITTLE ENGLISH -SHE CAN COOK CHINESE FOOD AND WILLING TO LEARN MORE -SHE WOULD LIKE TO TAKE CARE OF ELDERLY -SHE'S CHRISTIAN, SO SHE CAN HANDLE PORK AND EAT PORK

Maid No 傭工編號: FBT-65 (EXP-HK-ELDERLY )

工作紀錄DOMESTIC EMPLOYMENT RECORDS (1)
工作地點 Location	HK-YUEN LONG-VILLA-2 YRS	共有成員 No. of persons	17
工作期間 由-至 Duration From-To	2016-01 - 2018-01	離職原因 Reason of Leave	FINISH CONTRACT
工作範圍 main duty:	TAKE CARE OF AH-MA(SICK-CHANGE DIAPERS-ASSIST FOR SHOWER-FEEDING HER-GIVE HER MEDICINE) *SERVED 15 ADULTS , HAVE 2 SMALL KIDS *MADAM GO TO MARKET-HELP FOR COOKING
照料初生嬰兒 Care of new-born babies 歲數Age:   照顧老人 Care of elderly 歲數Age: 80Y0 AH-MA  照顧小孩 Care of young children 歲數Age:   照顧傷殘 Care of disabled 歲數Age:   家居清潔House Cleaning 洗熨衫Washing & Ironing 洗車Car Washing 買餸Go to market 烹飪Cooking 打理花園Gardening 照顧寵物Care of pets 其他Others: 2 INDO HELPERS, CAR WASH(3)

工作紀錄DOMESTIC EMPLOYMENT RECORDS (2)
工作地點 Location	HK-HOMANTIN-5 MHS	共有成員 No. of persons	3
工作期間 由-至 Duration From-To	2019-01 - 2019-06	離職原因 Reason of Leave	FAMILY PROBLEM
工作範圍 main duty:	TAKING CARE OF HEALTHY AH-MA, SERVED MADAM AND HER SON 19YO *GO TO MARKET, COOKING,CLEANING, ALL AROUND
照料初生嬰兒 Care of new-born babies 歲數Age:   照顧老人 Care of elderly 歲數Age: 78YO  照顧小孩 Care of young children 歲數Age:   照顧傷殘 Care of disabled 歲數Age:   家居清潔House Cleaning 洗熨衫Washing & Ironing 洗車Car Washing 買餸Go to market 烹飪Cooking 打理花園Gardening 照顧寵物Care of pets 其他Others:

工作紀錄DOMESTIC EMPLOYMENT RECORDS (3)
工作地點 Location	HK-TAIKOO-1 MONTH	共有成員 No. of persons	4
工作期間 由-至 Duration From-To	2019 - 2019	離職原因 Reason of Leave	JOB DOESN'T MATCH THE CONTRACT
工作範圍 main duty:	TAKE CARE OF 2 KIDS 5 & 9 YO,SERVED MUM-SIR *GO TO MARKET WITH MADAM, HELP FOR COOKING, CLEANING AND ALL AROUND
照料初生嬰兒 Care of new-born babies 歲數Age:   照顧老人 Care of elderly 歲數Age:   照顧小孩 Care of young children 歲數Age: 5 & 9 YO  照顧傷殘 Care of disabled 歲數Age:   家居清潔House Cleaning 洗熨衫Washing & Ironing 洗車Car Washing 買餸Go to market 烹飪Cooking 打理花園Gardening 照顧寵物Care of pets 其他Others:

工作紀錄DOMESTIC EMPLOYMENT RECORDS (4)
工作地點 Location	HK-MEIFOO-9MONTHS	共有成員 No. of persons	1
工作期間 由-至 Duration From-To	12-2024 - 08-2025	離職原因 Reason of Leave	COMMUNICATION PROBLEM WITH THE FAMILY
工作範圍 main duty:	TAKE CARE OF LADY ELDERLY, COOKING ASSIST HER TO WALK & DO THE HOUSEHOLD CHORES
照料初生嬰兒 Care of new-born babies 歲數Age:   照顧老人 Care of elderly 歲數Age: 92 YO  照顧小孩 Care of young children 歲數Age:   照顧傷殘 Care of disabled 歲數Age:   家居清潔House Cleaning 洗熨衫Washing & Ironing 洗車Car Washing 買餸Go to market 烹飪Cooking 打理花園Gardening 照顧寵物Care of pets 其他Others:

Maid No 傭工編號: FBT-65 (EXP-HK-ELDERLY )

GENERAL INFORMATION 一般諮詢		YES 是	NO 否
1.	If your holiday is not on Sundays, do you agree?: 若假期不在星期日，你是否願意?: SOMETIMES IS OK
2.	If your employer asked you to work on your holidays and is willing to pay as compensation, do you agree? 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?
3.	Do you eat pork? 你是否吃豬肉?
4.	Are you willing to handle pork? 你是否願意處理豬肉?
5.	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?
6.	Are you afraid of small dogs or cats? 你是否害怕小狗或貓?
7.	Are you willing to take care of disabled elderly, help them to take baths, change diapers, help them to go to the toilet, and accompany them to the hospital? 你是否願意照顧老/中傷殘，幫助他們洗澡、換尿片、大小便及到醫院?
8.	Are you willing to take care of baby? 你是否願意照顧嬰孩?
9.	Are you willing to take care of children? 你是否願意照顧小孩?
10.	Are you willing to work for a family without your own room?: 你是否願意在沒有獨立房間的家庭工作?:
11.	Are you willing to share the job with other helpers?: 你是否願意和其他女傭一起工作?:
12.	Do you smoke? 你吸煙嗎?
13.	Can you mend clothes? 你會縫補衣服嗎?
14.	Can you promise to dress properly and without any makeup during working hours? 你是否答應在工作時,穿著整齊和不化妝?
15.	Are you willing to cut your hair short if requested by your employer? 如僱主要求, 你是否願意剪短頭髮?
16.	Do you need to wear glasses while working? 你工作時是否要帶眼鏡?

MEDICAL BACKGROUND 醫療背景		YES 是	NO 否
1.	Have you suffered from any serious illness? 你曾患過嚴重疾病嗎?
2.	Have you undergone any operation? 你曾動過手術嗎?
3.	Have you suffered from any Mental illness? If yes, please specify: 你曾患過精神疾病?
4.	Do you have Epilepsy? 你患有癲癇?
5.	Do you have Asthma? 你患有哮喘?
6.	Do you have or have you suffered from diabetes? 你患有/曾患過糖尿病?
7.	Do you have Hypertension? 你患有高血壓?
8.	Do you have / Have you suffered from Tuberculosis? 你患有/曾患過肺結核病?
9.	Do you have Heart Disease? 你患有心臟病?
10.	Do you have or have you suffered from Malaria? 你患有/曾患過瘧疾
11.	Any other illnesses? If yes, please specify: 其他疾病? 如有, 請說明:
12.	Do you have any Physical Disabilities? If yes, please specify: 你任何身體殘疾? 如有, 請說明:
13.	Do you have any dietary restrictions? If yes, please specify: 您有飲食限制嗎？ 如果是，請具體說明：

Personal Declaration:
I hereby certify that the above information is true and correct to the best of my knowledge and belief. I understand any false information may result to my future termination of my employment due to dishonesty.