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| Application Information Sheet 申請人資料 | |||||
| Name姓名 | AGRIPINE | Age年齡 | 41 years old / 牛 / 巨蟹座 | ||
| Nationality國籍 | Filipino | Date of Birth出生日期 | 1985 | ||
| Gender性別 | F | Marital Status婚姻狀況 | Unmarried Partner | ||
| Education學歷 | Senior High School 高中 | Height身高 | 4.9 inch | ||
| Religion宗教 | Catholic 天主教 | Weight體重 | 54 kg | ||
| In the Family No.在家排行 | 10 | Son / Age兒子數目/年齡 | / Yrs歲 | ||
| Brother / Sister兄弟姊妹 | 4 / 5 | Daughter / Age女兒數目/年齡 | 2 / 4, 3Yrs歲 | ||
| Address地址 | |||||
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| Previous Employment Record 工作紀錄 1 | |||||
| Country 工作地點 | YUEN LONG | Salary 薪金 | BASIC | ||
| Duration 工作期間 | 2024 - 2026 | Total people to served 總服務人數 | 3 PERSON | ||
| Terminationreason 離開原因 | FINISH | ||||
| 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(4-12) | 2 YRS OLD UNTIL NOW | 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 | YAU TONG | Salary 薪金 | BASIC | ||
| Duration 工作期間 | 2016 - 2020 | Total people to served 總服務人數 | 4 | ||
| Terminationreason 離開原因 | FINISH | ||||
| 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(4-12) | 6 YRS OLD &9 YRS OLD | 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 | 1 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 3 | |||||
| Country 工作地點 | KWAI FONG | Salary 薪金 | BASIC | ||
| Duration 工作期間 | 2012 - 2016 | Total people to served 總服務人數 | 4 | ||
| Terminationreason 離開原因 | FINISH | ||||
| 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(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 4 | |||||
| Country 工作地點 | TAI HANG | Salary 薪金 | BASIC | ||
| Duration 工作期間 | 2010 - 2012 | Total people to served 總服務人數 | 4 | ||
| Terminationreason 離開原因 | FINISH | ||||
| 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(4-12) | 9 & 11 YRS OLD | 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 | ||||||
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| 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 | SANTAGO INTERNATIONAL HIGH SCHOOL | 1999 - 2003 | |
| 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 undergone any surgery? If Yes: 你有做過手術嗎? |
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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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| 9. | Do you have tattoo(s)?If Yes : 你是否有紋身？如有 : |
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Declaration by Applicant
I certify that : I personally supplied my information to ABADI MANPOWER AGENCY LIMITED. The information furnished herein this form (page 1,2) is true and correct to the best of my knowledge and belief. I will take full responsibility if any information proves to be false. I agree that the employment agency may publicly post. display or disclose my personal data as specifiedabove through the channel(s) set out above./ 本人茲證明 : 本人親自向 威信人力資源(仲介)有限公司提供我的資料。在盡我所知及所信下, 此表 (頁 1,2) 上的資料是真實及正確的。 如被證實有虛假資料，我將承擔全部責任。/ Saya Menyatakan Bahwa : Saya Pribadi Memberikan Informasi Saya Kepada ABADI MANPOWER AGENCY LIMITED. Informasi Yang Diberikan Di Sini Formulir Ini (halaman 1,2) Adalah Benar Dan Tepat Untuk Yang Terbaik Dari Pengetahuan dan Keyakinan saya. Saya Akan Bertanggung Jawab Penuh Jika Informasi Terbukti Palsu. |
| Signature of Applicant: | Date: |
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