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| Application Information Sheet 申請人資料 | |||||
| Name姓名 | MADELLE DINGLAS LLAMO | Age年齡 | 41 years old / 鼠 / 處女座 | ||
| Nationality國籍 | Filipino | Date of Birth出生日期 | 1984 | ||
| Gender性別 | F | Marital Status婚姻狀況 | Married | ||
| Education學歷 | Senior High School 高中 | Height身高 | 145 cm | ||
| Religion宗教 | Christian 基督教 | Weight體重 | 51 kg | ||
| In the Family No.在家排行 | 8 | Son / Age兒子數目/年齡 | 2 / 8, 14Yrs歲 | ||
| Brother / Sister兄弟姊妹 | 4 / 6 | Daughter / Age女兒數目/年齡 | / Yrs歲 | ||
| Address地址 | |||||
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| Previous Employment Record 工作紀錄 1 | |||||
| Country 工作地點 | PHILIPPINES | Salary 薪金 | BASIC | ||
| Duration 工作期間 | SEPT 2022 - DEC 2025 | Total people to served 總服務人數 | 4 | ||
| Terminationreason 離開原因 | FINISHED | ||||
| Care of Baby | 照顧嬰身 | 個月 | Care of Toddler | 照顧幼兒(1-3) | 2 | Yrs歲 | |||
| Care of Child | 照顧小孩(4-12) | Yrs歲 | Care of Elderly | 照顧老人 | Yrs歲 | ||||
| Care of Disabled | 照顧殘疾人士 | 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 | |||||
| Country 工作地點 | Salary 薪金 | ||||
| Duration 工作期間 | - | Total people to served 總服務人數 | |||
| Terminationreason 離開原因 | |||||
| Care of Baby | 照顧嬰身 | 個月 | Care of Toddler | 照顧幼兒(1-3) | Yrs歲 | ||||
| Care of Child | 照顧小孩(4-12) | Yrs歲 | Care of Elderly | 照顧老人 | Yrs歲 | ||||
| Care of Disabled | 照顧殘疾人士 | 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 | ||||||
| Educational Background 學歷背景 | |||
| Level 程度 | Name of school 學校名稱 | Period 就讀期間 | Qualification attainment 獲取名銜 |
| High School 高中 | - | ||
| College/University 大學 | - | ||
| Courses Studies 其他課程 | - | ||
| Special Training 其他學歷 | - | ||
| Supplementary Questions 附加問題 | Yes 是 | No 否 | ||
| 1. | Do you eat pork? 你會否食豬肉? |
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| 2. | Accept Day-off not on Sunday? 接受假日不在星期日? |
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| 3. | Sharing a room with babies / children / elder? 你願意和小孩/嬰兒/長者同房嗎? |
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| 4. | Are you afraid of dog or cat? 你會害怕狗或貓? |
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| 5. | Do you smoke? 你會抽煙嗎? |
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| 6. | Do you drink alcohol? 你會喝酒嗎? |
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| 7. | Have you any prolonged illnesses / undergone surgery? If Yes: 你有任何長期的疾病/做過手術嗎? |
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| 8. | Are you willing to share job with another worker? 你是願意與其他工人一起工作? |
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Declaration by Applicant
| I hereby confirm that all information and answers given above are true and correct. I have no objection for the Hong Kong agency to disclose my personal data to prospective employers for promotion purpose. I know any false information given by me may result in my repatriation back to my country of origin at my own expenses. 我在此確認上述所有信息和答案都是真實無誤的. 我不反對香港機構向潛在僱主披露我的個人資料以作推廣用途. 我知道如提供任何虛假資料可導致被遣返回原籍國. |
| Signature of Applicant: | Date: |
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