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Referral Name:
Referral Mobile No.:
Nationality:
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DOB:
Age:
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Height (w/o shoes) (ft/in):
Language:
Weight (kg/lbs):
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Highest Education:
Name of Father:
Age of Father:
Name of Mother:
Age of Mother:
Nos. of brothers/sisters:
Age of brothers/sisters:
The Order in Your Family (Child):
Nos. of sons/daughters:
Age of sons/daughters:
Who take care:
English:
Cantonese:
Mandarin:
Chinese Food:
Western Food:
Filipino Food:
Marketing:
New Born:
Over 6 months old:
1 - 5 years old:
Over 5 years old:
Male:
Female:
Bedridden care:
Dogs / Cats:
Other pets:
Cleaning house:
Washing clothes:
Ironing:
Using electric appliances:
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Current / Most recent, working experience as a domestic helper:
Previous / After the above working experience as a domestic helper:
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Admin Set
Mobile:
+85290197056
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