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Personal Information
- Maid NameANIS CAHYANI
- Ref. CodeJF-18-1244
- TypeNew Maid
- NationalityIndonesian
- Date Of Birth15-Jun-1992 (Age:26 yrs)
- Place Of BirthSUBANG
- Name of Port/Airport to be Repatriated
- Height151 (cm)
- Weight40 (kg)
- ReligionMuslim
- Marital StatusMarried
- Number of Siblings3
- Number of Children1
- Ages of Children1,5 yo
- EducationSecondary(7-9 yrs)
- Salary (S$)S$0
- Language
English: 2
Mandarin/Chinese Dialect:
Bahasa Indonesia/Malaysia: 5
Other Information
- Willing to work on off-days with compensation?
- Number of off-days per month: 0
- Able to handle pork?
- Able to eat pork?
- Able to care dog/cat?
- Able to do simple sewing?
- Able to do gardening work?
- Willing to wash car?
Employment Record
- From
- To
- Employer
- Country
- Main Duties
- Remark
- 2012
- 2013
- Indonesian
- Indonesia
- Housekeeping
Maid skills
- Area of work
- Willingness
- Experience
- Evaluation
- Care of infants/Children
- 0 yrs, 0 mo
- 3
- Care of elderly
- 0 yrs, 0 mo
- 2
- Care of disabled
- 0 yrs, 0 mo
- 2
- General Housework
- 1 yrs, 0 mo
- 5
- cooking
- 0 yrs, 0 mo
- 3
Personal Information
2012-2013 in Jakarta (Indonesia)
There are 4 people in the house. consist of sir, madam and 2 children aged 12yo and 7yo. her duties is handle all the general housework, washing laundry, ironing and another helper in charge to cooks.
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 : ANIS CAHYANI |
| 2. Date of birth : 15-Jun-1992 age: : 26 yrs |
| 3. Place of birth : SUBANG |
| 4. Height & weight :151 (cm) _40 (kg) |
| 5. Nationality : Indonesian |
| 6. Residential address in home country : |
| 7. Name of port / airport to be repatriated to : |
| 8. Contact number in home country: : - |
| 9. Religion : Muslim |
| 10. Education level : Secondary(7-9 yrs) |
| 11. Number of siblings I am no. : 3 |
| 12. Marital status : Married |
| 13. Number of children : 1 |
| 14. Ref.Code : JF-18-1244 |
A2 Medical History/Dietary Restrictions
| 14. Allergies (if any): |
| 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:_________________
| 16. Physical disabilities: |
| 17. Dietary restrictions: |
| 18. Food handling preferences: pork beef other |
A3 Others
| 19. Preference for rest day : 0 rest day(s) per month. |
| 20. Any other remarks : ________________________________________________________________ |
(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 |
|---|---|---|---|---|
| 1 | Care of infants/Children | 0 yrs, 0 mo | 3 | |
| 2 | Care of elderly | 0 yrs, 0 mo | 2 | |
| 3 | Care of disabled | 0 yrs, 0 mo | 2 | |
| 4 | General Housework | 1 yrs, 0 mo | 5 | |
| 5 | cooking | 0 yrs, 0 mo | 3 |
State if the third party is certified (e.g. ISO9001) or audited periodically by the EA:ISO certified
Interviewed in person and also made observation of FDW in the areas of work listed in table
- Interviewed via telephone/teleconference
- Interviewed via videoconference
- Interviewed in person
| 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 |
|---|---|---|---|---|
| 1 | Care of infants/Children | 0yrs, 0 mo | 3 | |
| 2 | Care of elderly | 0yrs, 0 mo | 2 | |
| 3 | Care of disabled | 0yrs, 0 mo | 2 | |
| 4 | General Housework | 1yrs, 0 mo | 5 | |
| 5 | cooking | 0yrs, 0 mo | 3 |
C) EMPLOYMENT HISTORY OF THE FDW
C1 Employment History Overseas
| From | To | Country (including FDW’s home country) |
Employer | Work Duties | Remarks |
|---|---|---|---|---|---|
| 2012 | 2013 | Indonesia | Indonesian | Housekeeping |
C2 Employment History in Singapore
Previous working experience in Singapore
No
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
