Ref No: OS0522 MEI
Type: 1ST TIMER
Expiration of Visa:
Last date with last employer:
Personal Particular
Name: MEIMEI Birth date: 1999 / 兔 / 金牛座
Age: 26 Civil status: Single
Height: 151 cm Weight: 57 kg
Religion: Catholic Language Spoken: English
Philippine Address: TAGUIG MAKATI, METRO MANILA,
Family Background
Name of spouse: NONE His/Her Occupation: NONE
No of children: Ages of children & Gender:
Age of mother: 52 Ages of father: 62
Your number in family: 3
No of Brothers you have: 4 No of Sisters you have: 0
Educational Attainment
Vocational School BS IN INFORMATION TECHNOLOGY/BS IN SOCIAL WORK Year 2 YEARS BOTH
My Special Skills and Experience
Domestic work Experience Special Skill
Newly born Care Age:
Child Care Age:
Care of Special Child/Person Age:
Care of Disabled Child/Person Age:
Elderly Care (60 and above) Age:
Child Tutoring
Cooking Chinese      Western
Pet
Employment Record
1. Name of Employer: ASA PHILIPPINES FOUNDATION Duration: 2019-07-17 - 2025-04-30 Country-Area: PHILIPPINES
Nationality: MUSLIM No of Family Members: No of years served: 6
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: LOOKING FOR BETTER FUTURE
Duties: Microfinance
Remark:
2. Name of Employer: ADRION FAMILY Duration: 2016-01- - 2018-04 Country-Area: PHILIPPINES
Nationality: FILIPINO No of Family Members: 4 No of years served: 2
No of Adult (18+): 2 No of elderly (65+): Ages:
No of Kids (0-17): 2 Ages: 15Y;16Y No of maids: 2 Size of house/flat:
Reason of leaving: END CONTRACT
Duties: CLEANING,WASHING,COOKING
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?: Incase of emergency
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?: Incase of emergency
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)?: Occasionally
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:
FRIENDLY, KINDNESS, HONEST

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.
MEIMEI
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傭工編號 Maid number: OS0522 MEI
傭工姓名 Maid Name: MEIMEI
客戶姓名 Client Name*: Mr.    Ms.    Miss
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