Ref No: OS ROMIR, 29 Type: 1ST TIMER

Expiration of Visa: Last date with last employer:

Personal Particular
Name:	ROMIR	Birth date:	1997 / 牛 / 雙子座
Age:	29	Civil status:	Single
Height:	172 cm	Weight:	105 kg
Religion:	Catholic	Language Spoken:	English
Philippine Address:	PUROK 1 MALITAO, ISABELA
Family Background
Name of spouse:	ROMIR UALAT	His/Her Occupation:
No of children:	1	Ages of children & Gender:	6 (Girl)
Age of mother:	61	Ages of father:	59
Your number in family:	7
No of Brothers you have:	3	No of Sisters you have:	1
Educational Attainment
College BS CRIMINOLOGY Year 2013-2017 UNDERGRADUATE

My Special Skills and Experience
Domestic work	Experience	Special Skill
Newly born Care			Age:
Child Care			Age: 6 and 9
Care of Special Child/Person			Age:
Care of Disabled Child/Person			Age:
Elderly Care (60 and above)			Age: 73
Child Tutoring
Cooking			Chinese      Western
Pet			Dog

Employment Record
1.	Name of Employer:	NELLY FE PANGANIBAN			Duration:	2023-03-01 - 2025-03-01			Country-Area:	PHILIPPINES
	Nationality:	FILIPINO			No of Family Members:	5			No of years served:	2
	No of Adult (18+):	2			No of elderly (65+):	1	Ages:	73 MALE HEALTHY
	No of Kids (0-17):	2	Ages:	6 AND 9	No of maids:	2			Size of house/flat:	1000
	Reason of leaving:	FINISH CONTRACT
	Duties:	ALL AROUND, COOKING (FILIPINO FOOD), HOUSE HOLD CHORES, CARWASHING, GARDENING
	Remark:
2.	Name of Employer:	HOSPITAL			Duration:	2026-APRIL - PRESENT			Country-Area:	ISABELA, PHILIPPINES
	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:	DIALYSIS TECHNICIAN
	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?: Any 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?
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.: Chest (NO VISABLE)

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.