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  • LIC NO. : 02C2836
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S47-003 BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)
(A)PROFILE OF FDW
A1PERSONAL INFORMATION
1. NAME : SITI NASRIFAH
2. DATE OF BIRTH : 04-Jul-1975 AGE : 44
3. PLACE OF BIRTH : MADIUN
4. HEIGHT : 150 cm WEIGHT : 50 kg
5. NATIONALITY : INDONESIAN
6. RESIDENTIAL ADDRESS (HOME COUNTRY) : DS. REJOSARI RT 001 RW 001 KEC. KEBONSARI KAB. MADIUN
7. NAME OF PORT/AIRPORT TO BE REPATRIATED TO : SURABAYA
8. CONTACT NUMBER (HOME COUNTRY) : +62
9. RELIGION : MUSLIM
10. EDUCATION LEVEL : SENIOR HIGH SCHOOL
11. NUMBER OF SIBLINGS : 7 I AM THE NO : 6
12. MARITAL STATUS : Married
13. NUMBER OF CHILDREN : 2
- AGE(S) OF CHILDREN (IF ANY) : 18 & 4
A2MEDICAL HISTORY/DIETARY RESTRICTIONS
14. ALLERGIES (IF ANY) : NIL
15. PAST AND EXISTING ILLNESSES (INCLUDING CHRONIC AILMENTS AND ILLNESS REQUIRING MEDICATION) :
YES NO YES NO
i. MENTAL ILLNESS vi. TUBERCULOSIS
ii. EPILEPSY vii. HEART DISEASE
iii. ASTHMA viii. MALARIA
iv. DIABETES ix. OPERATIONS
v. HYPERTENSION x. OTHERS :
16. PHYSICAL DISABILITIES : NIL
17. DIETARY RESTRICTIONS : CAN'T EAT PORK
18. FOOD HANDLING PREFERENCES: NO PORK NO BEEF OTHERS :
A3OTHER
19. PREFERENCE FOR REST DAY : REST DAY(S) PER MONTH
20. ANY OTHER REMARKS :
(B)SKILLS OF FDW
B1METHOD 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 THE FDW (INDICATE N.A. OF NO EVALUATION WAS DONE) POOR ……………..EXCELLENT…N.A 1 2 3 4 5 N.A
1 CARE OF INFANTS/CHILDREN PLEASE SPECIFY AGE RANGE : Yes Yes

2 CARE OF ELDERLY Yes Yes

3 CARE OF DISABLED Yes No

4 GENERAL HOUSEWORK Yes Yes

5 COOKING PLEASE SPECIFY CUISINES : Yes Yes

6 LANGUAGE ABILITIES (SPOKEN) PLEASE SPECIFY :

7 OTHER SKILLS,IF ANY PLEASE SPECIFY :

INTERVIEWED BY OVERSEAS TRAINING CENTRE/EA (PLEASE STATE NAME OF FOREIGN TRAINING CENTRE/EA: )

STATE IF THE THIRD PARTY IS CERTIFIED (E.G. ISO9001) OR AUDITED PERIODICALLY BY THE 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 THE FDW (INDICATE N.A. OF NO EVALUATION WAS DONE) POOR ……………..EXCELLENT…N.A 1 2 3 4 5 N.A
1 CARE OF INFANTS/CHILDREN PLEASE SPECIFY AGE RANGE : Yes Yes

Good
2 CARE OF ELDERLY Yes

Good
3 CARE OF DISABLED Yes No

4 GENERAL HOUSEWORK Yes Yes

Excellent
5 COOKING PLEASE SPECIFY CUISINES : Yes Yes

Very Good
6 LANGUAGE ABILITIES (SPOKEN) PLEASE SPECIFY :

7 OTHER SKILLS,IF ANY PLEASE SPECIFY :

(C)EMPLOYMENT HISTORY OF THE FDW
C1EMPLOYMENT HISTORY OVERSEAS
DATE COUNTRY (INCLUDING FDW’S HOME COUNTRY) EMPLOYER WORK DUTIES REMARKS
FROM TO
2016 2018 JORDAN LUK AI GENERAL HOUSEWORK AND CARE AFTER NEWBORN BABY AND FEMALE ELDERLY AGE 85
C2EMPLOYMENT HISTORY IN SINGAPORE
PREVIOUS WORKING EXPERIENCE IN SINGAPORE

(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)
C4FEEDBACK FROM PREVIOUS EMPLOYERS IN SINGAPORE
FEEDBACK WAS/WAS NOT OBTAINED BY THE EA FROM THE PREVIOUS EMPLOYER. IF FEEDBACK WAS OBTAINED (ATTACH TESTIMONIAL IF POSSIBLE), PLEASE INDICATE THE FEEDBACK IN THE TABLE BELOW:
FEEDBACK
(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
(E)OTHER REMARKS
I HEREBY GIVING CONSENT TO THE RESPECTIVE AGENCY TO USE MY PROFILE IN WHICHEVER MANNER FOR THE PURPOSE OF EMPLOYMENT.
(DI SINI SAYA MENYATAKAN BAHWA SAYA MEMBERI KEIZINAN KEPADA PIHAK AGENCY UNTUK MENGGUNAKAN PROFILSAYA UNTUK KEGUNAAN MENCARI PEKERJAAN LEWAT APA AJA JENIS MEDIA)

FDW NAME AND SIGNATURE
DATE :

EA PERSONNEL NAME AND REGISTRATION NUMBER
DATE :
I HAVE GONE THROUGH THE 4 PAGE BIODATA OF THIS FDW AND CONFIRM THAT I WOULD LIKE TO EMPLOY HER

EMPLOYER NAME AND NRIC NO.
DATE :
***************
IMPORTANT NOTES FOR EMPLOYERS WHEN USING THE SERVICES OF AN EA
  • DO CONSIDER ASKING FOR AN FDW WHO IS ABLE TO COMMUNICATE IN A LANGUAGE YOU REQUIRE, AND INTERVIEW HER (IN PERSON / PHONE / VIDEOCONFERENCE ) TO ENSURE THAT SHE CAN COMMUNICATE ADEQUATELY.
  • DO CONSIDER REQUESTING FOR AN FDW WHO HAS A PROVEN ABILITY TO PERFORM THE CHORES YOU REQUIRE, FOR EXAMPLE, PERFORMING HOUSEHOLD CHORES (ESPECIALLY IS SHE IS REQUIRED TO HANG LAUNDRY FROM A HIGH-RISE UNIT), COOKING AND CARING FOR YOUNG CHILDREN OR THE ELDERLY.
  • DO WORK TOGETHER WITH THE EA TO ENSURE THAT A SUITABLE FDW IS MATCHED TO YOU ACCORDING TO YOUR NEEDS AND REQUIREMENTS.
  • YOU MAY WISH TO PAY SPECIAL ATTENTION TO YOUR PROSPECTIVE FDW'S EMPLOYMENT HISTORY AND FEEDBACK FROM THE FDW'S PREVIOUS EMPLOYER (S) BEFORE EMPLOYING HER.