重要提示 Important Notice 此表的一切資料均由傭工提供, 本公司已力求詳盡真確，客戶需於面試及甄選過程中自行核實相關資料，本公司對傭工個人資料之真確性，並不作出任何保證。Any information shown in this form is solely provided by the Helper, “Forever Sunshine Employment Agency Limited” has sought the information as detailed and genuine as practicable within reasonable control. Clients should verify by themselves the related information during the interviews and screenings. No guarantee for the authenticity of the helpers' personal data is hereby given by “Forever Sunshine Employment Agency Limited”.
Personal Information 個人紀錄
Maid number 傭工編號 T2004GJ24I Type of maid 傭工類型 Terminate
Name 傭工姓名 JACQUELINE Move out date 離職日期
Nationality 國籍 Filipino 菲律賓 Education 教育程度 College 學院
Date of Birth 出生日期 1980 Religion 宗教 Christian 基督教
Age 年齡 43 Weight 體重 58 kg
Marital Status 婚姻狀況 Single 單身 Height 高度 5'3 feet
Family Background 家庭背景
Sibling 兄弟姊妹數目 1M, 1F Position in the family 在家排行 3
Age of Son 兒子年齡 Age of Daughter 女兒年齡 0, Age ( )
Working Experience 工作經驗
沒有經驗
No experience		 有經驗
Experience
Taking care of babies 照顧嬰兒
Taking care of children 照顧小童
Taking care of elderly 老人護理
Taking care of disable 照顧傷殘
Cooking 烹飪
House Work 家務
Pet Care 照顧寵物
Language Ability 語文能力
學習中
Learning		 中等
Average		 好
Good
Remark 備註 (評語只供參考)
2 DOSES-SINOVAC
COLLEGE UNDER GRADUATE-1 YR-COMPUTER TECHNOLOGY
2 YRS -FINISHED CONTRACT(2008-2010)-HUNGHOM-TOOK CARE 2 KIDS(11B,8G),COUPLE
2 YRS-FINISHED CONTRACT(2006-2008)-WHAMPOA-TOKK CARE 1 KID(10B),COUPLE
DUBAI(2004-2006)-TOOK CARE 5 KIDS(3,5,8,12,15)COUPLE 
Cantonese 廣東話
English 英語
Mandarin 普通話
Domestic Helper Employment Record 工作記錄
Country Experience
地區工作經驗		 Hong Kong 香港 12 YRS 11 MOS  Middle East 中東 2 YRS (DUBAI)  Other 其他
Singapore 新加坡   Saudi Arabia 沙特亞拉伯    
Taiwan 台灣   Indonesia 印尼  
Malaysia 馬來西亞    Philippines 菲律賓   
Duties Priority 工作意向
Taking care of babies 照顧嬰兒 Taking care of elderly 老人護理 Pet Care 照顧寵物
Taking care of children 照顧小童 Taking care of disable 照顧傷殘 Cooking 烹飪
Maid No 傭工編號: T2004GJ24I
Last Employer 上任僱主
Location 工作地點 CHAI WAN Working period 工作日期 2023-NOV - 20-APRIL-2024
Size of house 單位面積 400 SQ FT No of person served 僱主家庭人數 3 ADULTS
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 4730 Reason of leaving 離職原因 TERMINATED-NO REASON
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩:
Take care of elderly 照顧老人: 73F,63M
Take care of disabled 照顧傷殘:
House work 一般家務
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他: SLEEP AT LIVING ROOM
Go to market 街巿買餸
Car wash 洗車:
Cooking 烹飪: Chinese中 Western西
Previous Employer 前任僱主
Location 工作地點 OLYMPIC Working period 工作日期 2012-MAY - 2018-NOV
Size of house 單位面積 700 SQ FT No of person served 僱主家庭人數 3
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 TERMINATED (NO REASON)
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩: 6B
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Share Room 與他人共用房間
Pet Care 照顧寵物: 2 CATS
Other 其他: OWN ROOM
Go to market 街巿買餸
Car wash 洗車:
Cooking 烹飪: Chinese中 Western西
Previous Employer 前任僱主
Location 工作地點 LAM TIN Working period 工作日期 2010-APRIL - 2012-APRIL
Size of house 單位面積 600 SQ FT No of person served 僱主家庭人數 4
Holiday arrangement 放假安排 SUNDAY OFF No. of Maid in the family 傭工數目 1
Last salary 工資 Reason of leaving 離職原因 FINISHED CONTRACT
Take care of babies 照顧嬰兒:
Take care of children 照顧小孩: 9B,7G
Take care of elderly 照顧老人:
Take care of disabled 照顧傷殘:
House work 一般家務
Share Room 與他人共用房間
Pet Care 照顧寵物:
Other 其他:
Go to market 街巿買餸
Car wash 洗車:
Cooking 烹飪: Chinese中 Western西
General Information 一般諮詢 Yes 是 No 否
1. Do you accept your Holiday to be arranged on weekday sometimes?
是否願意在特別情況下，於平日放假 ?
2. Do you eat pork?
是否吃豬肉 ?
3. Do you accept to work in the employer's house equipped with camera recording system (for security purpose)?
你接受在配備攝錄系統(為保安用途)的僱主家中工作嗎?
4. Can you promise not to use mobile phone during your working hours?
你答應在工作時間內不使用手提電話?
5. Do you have any prolonged illness or undergone surgery? Pls specify:
你有沒有任何長期病患/ 做過手術嗎? 請說明 :
6. Are you afraid of pets?
你害怕寵物嗎？
7. DO YOU HAVE TATTOO?
DECLARATION of HELPER / PERNYATAAN dari PEMBANTU / 傭工聲明 :
本人茲證明: 本人親自向永晴僱傭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 MenyatakanBahwa : Saya PribadiMemberikanInformasi Saya Kepada FOREVER SUNSHINE EMPLOYMENT AGENCY LTD. Informasi Yang Diberikan Di Sini FormulirIni (halaman 1,2) AdalahBenar Dan TepatUntuk Yang Terbaik Dari Pengetahuan dan Keyakinansaya. Saya Akan BertanggungJawabPenuhJikaInformasiTerbuktiPalsu. I certify that : I personally supplied my information to FOREVER SUNSHINE EMPLOYMENT AGENCY. 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.
Helper’s Signature
Date: _______________________________