Ref No: OS RHYMES Type: 1ST TIMER

Expiration of Visa: Last date with last employer:

Personal Particular
Name:	RHYMES	Birth date:	1988 / 龍 / 天秤座
Age:	36	Civil status:	Separated
Height:	5'6 inch	Weight:	53 kg
Religion:	Christian	Language Spoken:	English
Philippine Address:	BAGO, SINDANGAN, ZAMBOANGA DEL NORTE
Family Background
Name of spouse:	WE SEPARATE 6 YRS AGO	His/Her Occupation:	NOT APPLICABLE
No of children:	1	Ages of children & Gender:	11 (Girl)
Age of mother:	64	Ages of father:	72
Your number in family:	6
No of Brothers you have:	2	No of Sisters you have:	8
Educational Attainment
College BACHELO OF SCIENCE IN AGRIBUSINESS MANAGEMENT Year 4 YEARS

My Special Skills and Experience
Domestic work	Experience	Special Skill
Newly born Care			Age: 1-5yrs old
Child Care			Age: 5-11yrs old
Care of Special Child/Person			Age: 3yrs old
Care of Disabled Child/Person			Age: 10yrs old
Elderly Care (60 and above)			Age: 85
Child Tutoring
Cooking			Chinese      Western
Pet			Cat

Employment Record
1.	Name of Employer:	CRUZ FAMILY			Duration:	2020 - 2023			Country-Area:	PHILIPPINES
	Nationality:	FILIPINO			No of Family Members:	6			No of years served:	4
	No of Adult (18+):	4			No of elderly (65+):		Ages:
	No of Kids (0-17):	2	Ages:	13Y 14Y	No of maids:				Size of house/flat:	2 STORY HOUSE
	Reason of leaving:	END CONTRACT
	Duties:	TAKING CHILD, COOKING, CLEANING. WASHING ALL HOUSEHOLD CHORES
	Remark:
2.	Name of Employer:				Duration:	-			Country-Area:
	Nationality:				No of Family Members:				No of years served:
	No of Adult (18+):				No of elderly (65+):		Ages:
	No of Kids (0-17):		Ages:		No of maids:				Size of house/flat:
	Reason of leaving:
	Duties:
	Remark:

Employment Record
3.	Name of Employer:				Duration:	-			Country-Area:
	Nationality:				No of Family Members:				No of years served:
	No of Adult (18+):				No of elderly (65+):		Ages:
	No of Kids (0-17):		Ages:		No of maids:				Size of house/flat:
	Reason of leaving:
	Duties:
	Remark:

Questionnaire	Y是/N否
1. Are you willing to accept a weekday off or any day to be assigned by your employer?: I prefer Sunday day-off
2. Are you prepared to return home at a time set by your employer during your day off?
3. Can you promise not to ask salary in advance?
4. Are you willing to cut your hair short if your employer require?
5. Are you willing to take care and sleep with baby/children at night?
6. Are you willing to work with a stay-in employer?
7. Are you willing to work with another helper?
8. Can you promise not to use telephone without the permission of your employer?
9. Have you suffered from any serious illness? If yes, specify:
10. Can you drive vehicle?
11. Are you afraid of dog? Other pets?
12. Are you willing to follow the code of discipline drawn by your agency?
13. Do you smoke or drink (alcohol)?
14. Have you ever worked in Hong Kong as a domestic helper? if Yes, please declare in the Work History section.
15. Do you have Tattoos on your body? If yes, please specify.

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.