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* User agreement

I have read and agree to the iTOP Maid Agency Pte Ltd Personal Data Protection Policy


Please find our Personal Data Protection Policy here

A1 PERSONAL INFORMATION

Photo *
Name *
Country code*
+
Handphone number (valid and active) *
Email address
Date of Birth *
Age *
years old
Height *
cm
Weight *
Kg
Nationality *
Residential address in home country *
Name of port/airport to be repatriated to
Religion *
Education level *
Number of siblings *
Marital Status *
Number of children *
Age(s) of children (if any) *

A2 Medical History/Dietary Restrictions

Allergie (if any) *
Past and existing illness (including chronic ailments and illness requiring medication) *
Mental illness
Epilepsy
Asthma
Diabetes
Hypertension
Tuberculosis
Heart Disease
Malaria
Operation
Other(s)
Physical Disabilities *
Dietary restrictions (pork/beef/others) *
Food Handling preferences *
Pork
Beef
Others

Other

Basic salary (with weekly rest day) *
Preference for rest day *
rest day(s) per month
Any other remarks

(B) Skill of FDW

B1 Method of Evaluation of skills (for agency only.)

Please indicate the method(s) used to evaluate the FDW's skills (can tick more than one)

(B) Skill of FDW

Areas of Work Willingness Experience of years Assessment/Observation (For EA only)
Care of infants/children, Please specify age range
N/A
Care of elderly
N/A
Care of disabled
N/A
Care of pets
N/A
General Housework
N/A
Cooking
N/A
Language abilities (spoken)
N/A
Other Skills
N/A

(C) EMPLOYMENT HISTORY OF THE FDW

C1 Employment History Overseas

Employment History Overseas




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Note: fields marked with an asterisk (*) are required