Official Registration - Licensed Employment Agency in Hong Kong (License No. 81063) / Pendaftaran Resmi - Agen Penempatan Kerja Berlisensi di Hong Kong (Nomor Lisensi 81063)
Minimum wage $5,220 + free food & accommodation per Hong Kong Standard Employment Contract (ID 407). Your information will only be shared with Hong Kong employers for job matching. Commission charged in accordance with Hong Kong Employment Agency Regulations (not exceeding 10% of first month's wage). / Gaji minimum $5.220 + makanan & tempat tinggal gratis, sesuai dengan Kontrak Kerja Standar Hong Kong (ID 407). Informasi Anda hanya akan dibagikan kepada pemberi kerja di Hong Kong untuk tujuan pencocokan pekerjaan. Komisi dikenakan sesuai dengan Peraturan Agen Ketenagakerjaan Hong Kong (tidak melebihi 10% dari gaji bulan pertama).
Full Name (as passport) / Nama Lengkap (sesuai paspor)
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Whatsapp Number / Nomor WhatsApp
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Which countries have you worked as domestic helper? / Di negara mana saja Anda pernah bekerja sebagai asisten rumah tangga?
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Hong Kong
Singapore (Singapura)
Malaysia
Taiwan
Middle East (Timur Tengah)
Philippine
Indonesia
Other
Consent (Izin)
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I authorize South China International Human Resource Co. (Hong Kong Licensed Employment Agency) to disclose my information to Hong Kong employers for job matching (Saya memberikan wewenang kepada South China International Human Resource Co. (Agensi Penempatan Kerja berlisensi di Hong Kong) untuk mengungkapkan informasi saya kepada pemberi kerja di Hong Kong guna keperluan pencocokan pekerjaan.)
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Last Visa
Full Name
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Picture (Tidy and Neat with good smile) / Foto (Rapi dan bersih dengan senyuman yang manis)
Passport & Certificate / Paspor & Sertifikat
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Browse Files
Drag and drop files here
Choose a file
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of
Your Selfie / Swafoto Anda
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PERSONAL PARTICULARS / DATA PRIBADI
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Rows
Answer
Age (Usia)
Date of Birth (Tanggal Lahir) (mm/dd/yyyy)
Place of Birth (Tanggal Lahir)
Nationality (Kebangsaan)
Marital Status (Status Pernikahan)
Religion (Agama)
Weight(kg) (Berat Badan)
Height(cm) (Tinggi Badan)
FAMILY BACKGROUND / LATAR BELAKANG KELUARGA
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Rows
Number / Nomor
Age / Usia
Children (Anak-anak)
Brother(s) (Kakak)
Sister(s) (Adik)
CORRESPONENCE / KORESPONDENSI
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Rows
Answer / Menjawab
Address Line 1 / Baris Alamat 1
Address Line 2 / Baris Alamat 2
Contact Number (Whatsapp, make sure we can contact you) / Nomor Kontak (WhatsApp, pastikan kami dapat menghubungi Anda)
EDUCATIONAL ATTAINMENT / PENCAPAIAN PENDIDIKAN
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Rows
School Name (Pelatihan Lainnya)
From (yyyy) to (yyyy)(Dari kapan sampai kapan)
Elementary / Sekolah Dasar
High School / Sekolah menengah atas
College / University & Subject / Perguruan Tinggi / Universitas & Jurusan
Other Training / Pelatihan Lainnya
OVERSEAS DOMESTIC HELPER EXPERIENCE
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Hong Kong
Malaysia
Singapore
Taiwan
Middle East
Philippines
Other
1. DOMESTIC EMPLOYMENT HISTORY / RIWAYAT PEKERJAAN DALAM NEGERI
Rows
Answer
Location (Lokasi)
Salary (Gaji)
No. of Served (Jumlah orang yang dilayani)
From (yyyy) to (yyyy) (Periode)
Size of House (sq.ft) (Ukuran rumah)
Reason of Leave (Finished / Break / Terminated) and why? ( Alasan berhenti (Selesai kontrak / Berhenti atas keinginan sendiri / Diberhentikan) dan mengapa demikian?)
Duties / Tugas-tugas
Rows
Duties
How Many? & Age
Care of newborn babies (Perawatan bayi yang baru lahir)
Care of Children (Perawatan anak)
Care of Elderly (Perawatan lansia)
Care of Disabled Person (Perawatan penyandang disabilitas)
Care of pets (Perawatan hewan peliharaan)
General Housework (Pekerjaan rumah tangga umum)
Hand Washing Clothes (Mencuci Pakaian dengan Tangan)
Marketing (Pemasaran)
Gardening (Berkebun)
Car Washing (Mencuci mobil)
Chinese Food (Masakan Tionghoa)
Western Food (Makanan Barat)
Others (Yang lain)
Shared Room (Kamar Bersama)
2. DOMESTIC EMPLOYMENT HISTORY
Rows
Answer
Location (Lokasi)
Salary (Gaji)
No. of Served (Jumlah orang yang dilayani)
From (yyyy) to (yyyy) (Periode)
Size of House (sq.ft) (Ukuran rumah)
Reason of Leave (Finished / Break / Terminated) and why? ( Alasan berhenti (Selesai kontrak / Berhenti atas keinginan sendiri / Diberhentikan) dan mengapa demikian?)
Duties / Tugas-tugas
Rows
Duties
How Many? & Age
Care of newborn babies (Perawatan bayi yang baru lahir)
Care of Children (Perawatan anak)
Care of Elderly (Perawatan lansia)
Care of Disabled Person (Perawatan penyandang disabilitas)
Care of pets (Perawatan hewan peliharaan)
General Housework (Pekerjaan rumah tangga umum)
Hand Washing Clothes (Mencuci Pakaian dengan Tangan)
Marketing (Pemasaran)
Gardening (Berkebun)
Car Washing (Mencuci mobil)
Chinese Food (Masakan Tionghoa)
Western Food (Makanan Barat)
Others (Yang lain)
Shared Room (Kamar Bersama)
3. DOMESTIC EMPLOYMENT HISTORY
Rows
Answer
Location
Salary
No. of Served
From (yyyy) to (yyyy)
Size of House (sq.ft)
Reason of Leave (Finished / Break / Terminated) and why?
Duties
Rows
Duties
How Many? & Age
Care of newborn babies
Care of Children
Care of Elderly
Care of Disabled Person
Care of pets
General Housework
Hand Washing Clothes
Marketing
Gardening
Car Washing
Chinese Food
Western Food
Other
Shared Room
NON-DOMESTIC EMPLOYMENT HISTORY
Rows
Answer
Location
From (yyyy) to (yyyy)
Salary
Position
Reason of Leave (Finished / Break / Terminated) and why?
Please answer the following questions
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Rows
Answer
What kind of food you DON’T eat?
Do you have tattoos? If yes, where is it?
Are you willing to take care of dog, cat or other pets?
Are you willing to share job with other helper?
Are you willing to take day off on weekdays or Saturday?
Are you taking any medications? What is it?
Have you ever suffered any diseases / allergy? What and when was it?
Have you ever been convicted of a criminal offence in a court of law?
Capabilities
Rows
Tick if you able to perform
Care of Infant
Care of Child
Care of Elderly
Care of Pet
Care of Disable Person
Care of Bedridden Person
General Housework
Cooking
Gardening
Car Washing
Others
Spoken English
Spoken Chinese
Spoken Mandarin
Declaration
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I declare that the information given in this application form is true and complete. I understand that if I have given anymisleading information on this form or made any omissions, this will be sufficient grounds for terminating my employment.
Consent
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I agree that South China International Human Resource Co. may disclose my biodata to potential employers to seek
Contact Number (Please download Whatsapp)
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Please make sure the provided phone number is correct and reachable by both call and WhatsApp. If the number is incorrect, we won't be able to contact you for the interview.
Important Reminder for Application Submission
Please ensure your application includes: (1) a recent photo, (2) valid WhatsApp number, and (3) complete details of your working experience. Incomplete applications may not be processed.
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Health Declaration
FAMILY HISTORY
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Rows
Yes
No
If
YES
, please state below
for ALL family members with health status in detail.
Have any of your parents or family ever had cardiovascular diseases, kidney disease, diabetes,stroke, cancer, hereditary diseases or mental disorder?
DOMESTIC HELPER HEALTH DECLARATION
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Rows
Yes
No
If yes, please state in detail (e.g. average daily / weekly consumption and type
Have you smoked any cigarettes, e-cigarettes including vaping, cigar, pipe or chewing tobacco within the past 12 months?
Do you consume alcohol regularly?
Do you participate in, or do you intend to participate in any private flying, any hazardous sports, or races?
Please tick the appropriate box
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Rows
Yes
No
If yes, please state in detail (e.g. Type of illness, treatment & condition & current condition)
Asthma, emphysema, tuberculosis or other lung diseases?
Diseases of heart and blood vessels such as high blood pressure, chest
pain?
Hepatitis or hepatitis carrier, ulcer or bowel, liver or gall bladder
disease?
Renal stone or any disorder of the genitourinary disorders?
Epilepsy, stroke, mental or nervous disorders?
Diabetes, venereal disease, cancer, tumour, or any blood diseases?
Severe injury, gout, back pain, or other musculoskeletal disorders?
In the past 5 years, have you: (Please tick the appropriate box)
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Rows
Yes
No
had, or been advised to have blood tests, electrocardiograms or X-rays? (e.g. Cholesterol, AIDS or Hepatitis etc.)
had any illness requiring regular medical treatment or advice, operation
or hospitalization not mentioned above?
Are you now receiving or contemplating any operation or medical treatment?
DECLARATION & AGREEMENT & PERSONAL DATA
All information and statements provided in the application, whether self-completed or otherwise, are complete, accurate, and truthful. In accordance with the provisions of the Personal Data (Privacy) Ordinance of Hong Kong, by signing below, I consent and authorize the company to possess, collect, store, and use my personal data for the purpose of record keeping or disclose to my employer.
Signature
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