Ref No: OS XHK JOVIE ONLY 1 YR
Type: EX HK
Expiration of Visa:
Last date with last employer:
Personal Particular
Name: JOVIE Birth date: 1990 / 馬 / 天蠍座
Age: 34 Civil status: Married
Height: 5'2 inch Weight: 95 kg
Religion: Catholic Language Spoken: English
Philippine Address: 261 LOWER EAST PIAS CAMP7 BAGUIO CITY
Family Background
Name of spouse: DAVE TERIO His/Her Occupation: WARE HAUSE MAN
No of children: 1 Ages of children & Gender: 6 (Girl)
Age of mother: 63 Ages of father: 62
Your number in family: 4
No of Brothers you have: 5 No of Sisters you have: 5
Educational Attainment
College COMPUTER SCIENCE Year 2008-2010
My Special Skills and Experience
Domestic work Experience Special Skill
Newly born Care Age:
Child Care Age: 0 to 6 years old
Care of Special Child/Person Age:
Care of Disabled Child/Person Age:
Elderly Care (60 and above) Age: 63
Child Tutoring
Cooking Chinese      Western
Pet
Employment Record
1. Name of Employer: NONE Duration: 2016 - 2017 Country-Area: HONGKONG
Nationality: CHINESE No of Family Members: 4 No of years served: 1
No of Adult (18+): 2 No of elderly (65+): Ages:
No of Kids (0-17): 2 Ages: 5Y 3Y No of maids: Size of house/flat:
Reason of leaving: HOMESICK
Duties: TAKING CARE OF NEW BORN, CHILD, COOKING, CLEANING FOR 1YEAR AND 3 MONTHS
Remark: SHE CAN SPEAK ENGLISH
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:
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?
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)?: Occasional
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.
Say something about your personality:
HONEST AND UNDERSTANDING

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.
JOVIE
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傭工編號 Maid number: OS XHK JOVIE ONLY 1 YR
傭工姓名 Maid Name: JOVIE
客戶姓名 Client Name*: Mr.    Ms.    Miss
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