Ref No: F1417 TC JENEPHIER Type: HK TERMINATED

Expiration of Visa: 2026-07-10 Last date with last employer:

Personal Particular
Name:	JENEPHIER	Birth date:	1985 / 牛 / 天蠍座
Age:	40	Civil status:	Married
Height:	155 cm	Weight:	51 kg
Religion:	Christian	Language Spoken:	English
Philippine Address:	NUEVA ECIJA PHILIPPINES
Family Background
Name of spouse:	REYLAND VALDEZ	His/Her Occupation:	SALESMAN
No of children:	2	Ages of children & Gender:	13 (Boy), 9 (Girl)
Age of mother:	60	Ages of father:	70
Your number in family:	1
No of Brothers you have:	2	No of Sisters you have:	3
Educational Attainment
High School Year

My Special Skills and Experience
Domestic work	Experience	Special Skill
Newly born Care			Age:
Child Care			Age: 2
Care of Special Child/Person			Age:
Care of Disabled Child/Person			Age:
Elderly Care (60 and above)			Age: 81
Child Tutoring
Cooking			Chinese      Western
Pet			cat and dog

Employment Record
1.	Name of Employer:	LI YIN WA			Duration:	2025-09-09 - 2026-06-27			Country-Area:	KOWLOONTONGHONG KONG
	Nationality:	CHINESE			No of Family Members:	2			No of years served:	10 months
	No of Adult (18+):				No of elderly (65+):		Ages:	70 AND 81
	No of Kids (0-17):		Ages:		No of maids:	1			Size of house/flat:	1088
	Reason of leaving:	TERMINATED
	Duties:	household work, cooking, basic needs of elderly marketing, laundry and ironing
	Remark:	THEY BOTH HEALTHY
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?: sunday church day
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?: due to religious belief
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?: prefer working by myself
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.