BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)

*Please ensure that you run through the information within the biodata as it is an important document to help you select a suitable FDW

(A) PROFILE OF FDW

A1 Personal Information
1. Name :
2. Date of birth 01-Jan-1970 (Age: yrs)
3. Place of birth :
4. Height & weight : (cm) _ (kg)
5. Nationality :
6. Residential address in home country :
7. Name of port / airport to be repatriated to :
8. Contact number in home country: : -
9. Religion :
10. Education level :
11. Number of siblings I am no. :
12. Marital status :
13. Number of children :
14. Ref.Code :
A2 Medical History/Dietary Restrictions
14. Allergies (if any): No
15. Past and existing illnesses (including chronic ailments and illnesses requiring medication) :
    Yes/No
  • Mental illness No
  • Epilepsy No
  • Asthma No
  • Diabetes No
  • Hypertension No
  • Yes/No
  • vi. Tuberculosis No
  • vii. Heart disease No
  • viii. Malaria No
  • ix. Operations No
  • x. Others:No_________________
16. Physical disabilities: No
17. Dietary restrictions: No
18. Food handling preferences: pork beef other
A3 Others
19. Preference for rest day : 0 rest day(s) per month.
20. Any other remarks : No________________________________________________________________

(B) SKILLS OF FDW

B1 Method of Evaluation of Skills
Please indicate the method(s) used to evaluate the FDW’s skills (can tick more than one):

Based on FDW’s declaration, no evaluation/observation by Singapore EA or overseas training centre/EA

  • Interviewed by Singapore EA
  • Interviewed via telephone/teleconference
  • Interviewed via videoconference
  • Interviewed in person
  • Interviewed in person and also made observation of FDW in the areas of work listed in table
S/No Areas of Work Willingness Yes/No Experience Yes/No If yes, state the no. of years Assessment/Observation Please state qualitative observations of FDW and/or rate theFDW (indicate N.A. of no evaluation was done) Poor .................Excellent...N.A 1 2 3 4 5 N.A
Care of Infants/Children yrs, mo
Care of Elderly yrs, mo
Care of Disabled yrs, mo
General Housework yrs, mo
Cooking yrs, mo
Other yrs, mo
Interviewed by overseas training centre / EA (Please state name of foreign training centre / EA: PT. Yonasindo Intra Pratama)
  • Interviewed via Telephone/Tele-conference
  • Interviewed via Video-conference
  • Interviewed in Person
  • Interviewed in person and also made observation of FDW in the areas of work listed in table

C) EMPLOYMENT HISTORY OF THE FDW

C1 Employment History Overseas
From To Country
(including FDW’s
home country)
Employer Work Duties Remarks
C2 Employment History in Singapore
Previous working experience in Singapore Yes

(The EA is required to obtain the FDW’s employment history from MOM and furnish the employer with the employment history of the FDW. The employer may also verify the FDW’s employment history in Singapore through WPOL using SingPass)

C3 Feedback from previous employers in Singapore
Feedback was/ was not obtained by the EA from the previous employers. If feedback was obtained (attach testimonial if possible),

please indicate the feedback in the table below:

Feedback
Employer 1
Employer 2
D) AVAILABILITY OF FDW TO BE INTERVIEWED BY PROSPECTIVE EMPLOYER
  • FDW is not available for interview
  • FDW can be interviewed by phone
  • FDW can be interviewed by video-conference
  • FDW can be interviewed in person