Maid No 傭工編號: FBT-190(EXP-HK)
Type of maid 傭工類型: Overseas
申請人資料 APPLICANT'S INFORMATION SHEET
傭工姓名
Name
LASMI
傭工編號
Maid number
FBT-190(EXP-HK) 傭工類型
Type of maid
Overseas
性別
Sex
Female 國籍
Nationality
Indonesian
年齡
Age
29YO 出生日期
Date of birth
1996
高度 Height 155 cm 體重 Weight 65 kg
宗教
Religious
Muslim 婚姻狀況
Marital Status
Married
學歷
Education
Senior High School 子女數目及年齡
No of child. & ages
Daughter ( 1 ), Age ( 1,5 )
家中排行
The order in family
1 丈夫年齡及職業
spouse’s age & occupation

兄妹人數
No. of siblings
1 離開前僱主日期
Release Date
語言能力 LANGUAGE
學習中
Learning
一般
Fair

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
1 YEAR  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 HAS GOOD EXPERIENCE TAKING CARE OF THE CHILDREN--------

------HER CHILD IS NOW BEING CARED FOR BY HER MOTHER AND HER YOUNGER SISTER. SHE'S NOW STRUGGLE TO EARN A LIVING FOR HERSELF, HER CHILD, AND HER FAMILY ---------

-DOB : 24-03-1996
-SHE'S A MUSLIM BUT CAN HANDLE PORK
-SHE CAN COOK SIMPLE CHINESE FOOD AND WILL LEARNING MORE
-SHE STAY IN TRAINING SCHOOL NOW AND LEARN CANTONESE, MORE ENGLISH, ALSO ATTITUDE AND MORE
WORKING SKILLS
-SHE ACCEPTS ANY KIND OF JOB, DAY OFF FLEXIBLE 
Maid No 傭工編號: FBT-190(EXP-HK)
工作紀錄DOMESTIC EMPLOYMENT RECORDS (1)
工作地點 Location HK-KWON LOON-1 YEAR 共有成員 No. of persons 4
工作期間 由-至 Duration From-To 2022 MAR - 2023 MAR 離職原因 Reason of Leave GET MERRIED
工作範圍 main duty: -SERVE MAM&SIR AND TAKING CARE OF CHILDREN
-TAKING AND PICKING UP THE CHILD AT SCHOOL
-HANDLING HOUSEHOLD CHORES,COOKING AND GO TO MARKET
-CAR WASHING (1)
照料初生嬰兒
Care of new-born babies
歲數Age:
BOY 1,5 YO AND GIRL 2,5 YO 
照顧老人
Care of elderly
歲數Age:
 
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: 1 CAR
工作紀錄DOMESTIC EMPLOYMENT RECORDS (2)
工作地點 Location 共有成員 No. of persons
工作期間 由-至 Duration From-To - 離職原因 Reason of Leave
工作範圍 main duty:
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:
 
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 共有成員 No. of persons
工作期間 由-至 Duration From-To - 離職原因 Reason of Leave
工作範圍 main duty:
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:
 
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-190(EXP-HK)
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?
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?Caesarean operation
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.