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Code: PUJI(T)
| Applicants Information Sheet 申請人資料 | |||
| Name 姓名 | SARI | Age 年齡 | 42 |
| Nationality 國籍 | INDONESIAN | Date of Birth 出生日期 | 1983 |
| Gender 性別 | FEMALE | Marital Status 婚姻狀況 | MARRIED |
| Education 學歷 | JUNIOR HIGH SCHOOL | Height 身高 | 159 CM |
| Religion 宗教 | MUSLIM | Weight 體重 | 55 KG |
| In the Family No.在家排行 | Son / Age 兒子數目/年齡 | 2 / 20, 17 YRS OLD | |
| Brother / Sister 兄弟姊妹 | / | Daughter / Age 女兒數目/年齡 | 0 / |
| Address 地址 | |||
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| Previous Employment Record 工作紀錄 1 | |||||
| Location 工作地點 | TSUEN WAN | Salary 薪金 | |||
| Duration 工作期間 | 2010 - 2014 | Total people to serve 總服務人數 | 4 | ||
| Termination Reason 離開原因 | FINISH CONTRACT | ||||
| Care of Baby | 照顧嬰兒 | 個月 | ✓ | Care of Toddler | 照顧幼兒 (1-3) | 2 YRS OLD | Yrs 歲 | ||
| Care of Child | 照顧小孩 (3-12) | Yrs 歲 | ✓ | Care of Elderly | 照顧老人 | 78 POPO | Yrs 歲 | ||
| Care of Disabled | 照顧傷殘 | Yrs 歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | ✓ | Household Works | 家務 | |||||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| ✓ | Cooking | 烹飪 | Driving | 駕駛 | |||||
| Previous Employment Record 工作紀錄 2 | |||||
| Location 工作地點 | HONG KONG | Salary 薪金 | |||
| Duration 工作期間 | 2015 - 2022 | Total people to serve 總服務人數 | 3 | ||
| Termination Reason 離開原因 | FINISHED CONTRACT(CHILDREN STUDY IN ENGLAND) | ||||
| Care of Baby | 照顧嬰兒 | 個月 | Care of Toddler | 照顧幼兒 (1-3) | Yrs 歲 | ||||
| ✓ | Care of Child | 照顧小孩 (3-12) | 6 YRS OLD | Yrs 歲 | Care of Elderly | 照顧老人 | Yrs 歲 | ||
| Care of Disabled | 照顧傷殘 | Yrs 歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | ✓ | Household Works | 家務 | |||||
| ✓ | Car Washing | 洗車 | Gardening | 打理花園 | |||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Previous Employment Record 工作紀錄 3 | |||||
| Location 工作地點 | HONG KONG | Salary 薪金 | |||
| Duration 工作期間 | 2022 - 2023(6 MONTHS) | Total people to serve 總服務人數 | 2 | ||
| Termination Reason 離開原因 | PERSONAL REASON | ||||
| Care of Baby | 照顧嬰兒 | 個月 | Care of Toddler | 照顧幼兒 (1-3) | Yrs 歲 | ||||
| ✓ | Care of Child | 照顧小孩 (3-12) | 15YRS | Yrs 歲 | Care of Elderly | 照顧老人 | Yrs 歲 | ||
| Care of Disabled | 照顧傷殘 | Yrs 歲 | Care of Bedridden | 照顧卧床人士 | |||||
| ✓ | Care of Pets | 照顧寵物 | CAT | ✓ | Household Works | 家務 | |||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Previous Employment Record 工作紀錄 4 | |||||
| Location 工作地點 | FANLING | Salary 薪金 | |||
| Duration 工作期間 | 2024 - 2026(2.6 YRS OL | Total people to serve 總服務人數 | 4 | ||
| Termination Reason 離開原因 | RESIGNATION | ||||
| ✓ | Care of Baby | 照顧嬰兒 | 6MONTHS | 個月 | Care of Toddler | 照顧幼兒 (1-3) | Yrs 歲 | ||
| ✓ | Care of Child | 照顧小孩 (3-12) | 8 AND 15 | Yrs 歲 | Care of Elderly | 照顧老人 | Yrs 歲 | ||
| Care of Disabled | 照顧傷殘 | Yrs 歲 | Care of Bedridden | 照顧卧床人士 | |||||
| Care of Pets | 照顧寵物 | ✓ | Household Works | 家務 | |||||
| Car Washing | 洗車 | Gardening | 打理花園 | ||||||
| Cooking | 烹飪 | Driving | 駕駛 | ||||||
| Other Question 其他問題 | |||
| Yes 是 | No 否 | ||
| 1. | Do you eat pork? 你會否食豬肉? | ✓ | |
| 2. | Accept Day-off not on Sunday? 接受假日不在星期日? | ✓ | |
| 3. | Sharing a room with babies / children / elder? 你願意和小孩/嬰兒/長者同房嗎? | ✓ | |
| 4. | Do you afraid of dog or cat? 你會害怕狗或貓? | ✓ | |
| 5. | Do you smoke? 你會抽煙嗎? | ✓ | |
| 6. | Do you drink alcohol? 你會喝酒嗎? | ✓ | |
| 7. | Have you any prolonged illnesses / undergone surgery? If Yes: 你有任何長期的疾病/做過手術嗎? 如有 | ✓ | |
Declaration by Applicant
Disclaimer: I understand and agree that Ka Yin Employment Centre will use all personal data collected and contained in this form to find an employer for me as a foreign domestic helper in Hong Kong. Personal data will be posted, displayed or disclosed by Ka Yin Employment Centre on the website and in-store( including display windows) for visitors' inspection and related information can also be used to assist government bureaux/departments in enforcing relevant laws.
I hereby declare that all personal data/all information provided on this form and any attached documents are true, correct and complete. If there are any untruths, the applicant must bear all legal responsibilities.
申請人聲明: 本人明白並同意,嘉賢僱傭中心使用本表格所收集及包含的所有個人資料,為本人在香港擔任外籍家庭傭工尋找僱主。 個人資料將由嘉賢僱傭中心張貼、展示或披露於網站及店內(包括櫥窗),以供訪客查閱及相關資料亦可用於協助政府決策局/部門執行相關法例。
本人特此聲明,本表格及所附任何文件中提供的所有個人資料/所有信息均屬真實、正確和完整。 如有不實之處, 申請人必須承擔所有法律責任。

