BIO-DATAOFFOREIGN DOMESTICWORKER(FDW)

BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)

*Pleaseensurethatyourun throughtheinformationwithinthebiodataasitisanimportantdocumenttohelpyouselectasuitableFDW

(A)PROFILE OF FDW

A1PersonalInformation Ref No.:

  1. Name: ELISA SETIANINGSIH

2.Dateofbirth : 19 JANUARI 1992 Age: 25 Y.O

3.Placeofbirth :INDRAMAYU

4.Heightweight: 152cm 45kg

5.Nationality: INDONESIA

6.Residentialaddressinhomecountry

KOLPLEK BTN 055/007 JATIBARANG JATIBARNAG INDRAMAYU

7.Nameofport/airporttoberepatriatedto:

PHOTO

(half/1ullbodiedandcoloured)

8.Contactnumberinhomecountry:

9.Religion:ISLAM

10.Educationlevel: SECONDARYSCHOOL

11.Numberofsiblings:- - BROTHER / 1SISTER

12.Maritalstatus: MERIED

13.Numberofchildren:2

-Age(s)ofchildren(ifany): 7 YEARS AND 4 YEARS

A2MedicalHistory/DietaryRestrictions

14.Allergies(ifany):NO

15.Pastandexisting illnesses(includingchronicailmentsandillnessesrequiringmedication):

Yes / No / Yes / No
i. / Mentalillness / No / vi. / Tuberculosis / No
ii. / Epilepsy / No / vii. / Heartdisease / No
iii. / Asthma / No / viii. / Malaria / No
iv. / Diabetes / / No / ix. / Operations / No

v.HypertensionNox.Others:

16.Physicaldisabilities:No

17.Dietaryrestrictions:No

18.Foodhandlingpreferences: YesPork Yesbeef Others:

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A3Others

19.Preferenceforrestday: restday(s)permonth.

20.Anyotherremarks:

(B)SKILLSOFFDW

B1MethodofEvaluationofSkills

Pleaseindicatethemethod(s)usedtoevaluatetheFDW’s skills(cantickmorethanone):

BasedonFDW’sdeclaration,no evaluation/observationbySingaporeEAor overseastrainingcentre/EA

InterviewedbySingaporeEA

Interviewedviatelephone/teleconference

Interviewedviavideoconference

Interviewedinperson

InterviewedinpersonandalsomadeobservationofFDWintheareasofworklistedintable

S/No / Areas ofWork / Willingness
Yes/No / Experience
Yes/No
Ifyes,state theno. of years / Assessment/Observation
PleasestatequalitativeobservationsofFDWand/orratethe FDW(indicateN.A.ofno evaluationwasdone) Poor…………………………Excellent…N.A
1 2 3 4 5N.A
1. / Careofinfants/children
Pleasespecifyagerange: / yes
2. / Careofelderly / yes
3. / Careofdisabled
4. / Generalhousework / yes
5. / Cooking
Pleasespecifycuisines: / yes
6. / Languageabilities(spoken) Pleasespecify:
7. / Otherskills,ifany
Pleasespecify: / COOKING, CLEANING HOUSE,CARE CHILDREN AND ELDERL

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Interviewedby overseastraining centre / EA(Pleasestatenameofforeigntrainingcentre/EA: ) Stateifthethirdpartyiscertified(e.g.ISO9001)orauditedperiodicallybytheEA:

Interviewedviatelephone/teleconference

Interviewedviavideoconference

Interviewedinperson

InterviewedinpersonandalsomadeobservationofFDWintheareasofworklistedintable

S/No / Areas ofWork / Willingness
Yes/No / Experience
Yes/No
Ifyes,state theno. of years / Assessment/Observation
PleasestatequalitativeobservationsofFDWand/orratethe FDW(indicateN.A.ofno evaluationwasdone) Poor…………………………Excellent…N.A
1 2 3 4 5N.A
1. / Careofinfants/children
Pleasespecifyagerange: / Yes
2. / Careofelderly / Yes
3. / Careofdisabled
4. / Generalhousework / Yes
5. / Cooking
Pleasespecifycuisines: / Yes
6. / Languageabilities(spoken) Pleasespecify:
7. / Otherskills,ifany
Pleasespecify: / COOKING, CLEANING HOUSE,CARE CHILDREN AND ELDERL

©EMPLOYMENTHISTORYOFTHEFDW

C1EmploymentHistoryOverseas

Date / Country (including FDW’shome country) / Employer / WorkDuties / Remarks
From / To
2007 / 2017 / INDRAMAYU
INDONESIA / RESTAURANT / She is obedience,hard working,caring,honest,
patience,inisiatif

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C2EmploymentHistoryinSingapore

PreviousworkingexperienceinSingapore Yes No

(TheEAisrequiredtoobtaintheFDW’semploymenthistoryfromMOMandfurnishtheemployerwiththeemploymenthistoryof theFDW.TheemployermayalsoverifytheFDW’semploymenthistoryinSingaporethroughWPOLusingSingPass)

C3FeedbackfrompreviousemployersinSingapore

Feedbackwas/wasnotobtainedbytheEAfromthepreviousemployers.Iffeedbackwas obtained(attachtestimonialifpossible), pleaseindicatethefeedbackinthetablebelow:

Feedback
Employer1
Employer2

(D)AVAILABILITYOF FDWTO BE INTERVIEWEDBY PROSPECTIVEEMPLOYER

FDWisnotavailable forinterview

VFDWcanbeinterviewedbyphone

VFDWcanbeinterviewedbyvideo-conference

VFDWcanbeinterviewedinperson

(E)OTHERREMARKS

THIS MAID ABLE FOR ELDERLY,CHILDREN AND BABY CARE,HOUSE WORK AND COOKING

NURUL QOMARIYAH

FDWNameandSignatureEAPersonnelNameandRegistrationNumber

Date:Date:

Ihavegonethroughthe4pagebiodataofthisFDWandconfirmthatIwouldliketoemployher

EmployerNameandNRICNo. Date:

***************

IMPORTANTNOTES FOR EMPLOYERSWHEN USING THE SERVICESOF AN EA

Doconsider asking for an FDW who is able to communicate in a language you require, and interview her (in person/phone/video conference)toensurethatshecancommunicateadequately.

DoconsiderrequestingforanFDWwhohasaprovenabilitytoperformthechoresyourequire,forexample,performing householdchores(especially ifsheisrequired tohanglaundryfrom ahigh-riseunit),cookingandcaringforyoungchildren ortheelderly.

Do worktogetherwiththeEAtoensurethatasuitableFDWismatchedtoyouaccordingtoyourneedsandrequirements.

You maywishto payspecialattention to yourprospective FDW’s employment history andfeedbackfromthe FDW’s previousemployer(s)beforeemployingher.

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