Self Nomination Form
Fill out the form carefully for registration
Award Category
*
Please Select
Breadwinner of the Year
House Cook of the Year
Lady Driver of the Year
Loyalty of the Year
Nanny of the Year
Kasambahay Achiever of the Year
Household Manager of the Year
K Idol of the Year (Kasambahay Idol)
Full name of the Household Worker to Nominate
*
First Name
Middle Name
Last Name
Mobile Number
*
Format: (000) 000-0000.
Email Address
example@example.com
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Age
*
Education
*
Please Select
Elementary Graduate
High School Graduate
College / University Graduate
Undergraduate
Did not attend school
Province in the Philippines
*
Do you have Philippine Government Security Membership
*
SSS
GSIS
Pag-ibig
PhilHealth
None
Other
Emirates in the UAE
*
Please Select
Abu Dhabi
Ajman
Dubai
Fujairah
Ras Al Kaimah
Sharjah
Umm Al Quwain
Current Job Position
*
Please Select
Nanny
Cook
Lady Driver
House Keeper
All Around
Total Years of Service as Household Worker Abroad
*
Years of Service as Household Worker with Current Employer
*
Write your special talent or skills?
Tell us more about your life story: your family, children, siblings, challenges with your personal and family life while working abroad (Ikuwento mo sa amin ang tungkol sa iyong buhay: ang iyong pamilya, mga anak, mga kapatid, mga magulang, mga pagsubok sa iyong pamilya at personal na buhay habang ikaw ay nasa abroad).
*
Please provide more details about your challenges and experiences as a domestic worker abroad. Also, please explain your decision why you pursued a career as a domestic helper or household worker. (Magbigay ng karagdagang detalye tungkol sa iyong mga pagsubok at karanasan bilang isang domestic worker sa ibang bansa. Ipaliwanag din kung bakit mo pinili ang karerang ito bilang isang domestic helper o kasambahay. Ano ang maipagmamalaki mo sa pagiging Kasambahay)
*
Tell us your achievements: if you have business, property investment, raised children with degrees, savings, life insurance, career improvement (Ikuwento mo ang iyong mga tagumpay: may negosyo, bahay at lupa na naipundar, nagpaaral at nakapagpatapos ng mga mga anak, ipon, life insurance, pag-unlad sa karera).
*
Tell us why you should be shortlisted / selected to attend the 1st interview and to be one of the Grand Winners of Household Worker Award in the UAE (Ipaliwanag kung bakit ka dapat mapili upang makadalo sa unang interbyu at manalo bilang isang natatanging Kasambahay sa UAE)
*
What can you say about this award giving body for Household Workers in the UAE? Will this recognition help the Kasambahay community in any way (Ano ang masasabi mo sa Gawad Kasambahay event? Nakakatulong ba ito sa community at bakit)
*
Employer's Nationality / Country (Nasyonalidad or bansa ng Employer)
*
Would you like to nominate your current employer for Best Household Employer of The Year? (Nais mo bang i-nominate ang iyong kasalukuyang amo bilang Best Household Employer of The Year?)
*
Please Select
Yes
No
If your answer is YES, kindly provide the complete name of your employer and provide a detailed explanation as to why we should acknowledge and honor your employer as The Best Household Employer of the Year. (Kung ang sagot mo ay OO, pakibigay ang kumpletong pangalan ng iyong amo at magbigay ng detalyadong paliwanag kung bakit namin dapat kilalanin at parangalan ang iyong amo bilang The Best Household Employer of the Year)
By choosing YES, you agree to send this info to the GK organizing team to use it for the application processes. (Sa pagpili ng OO, sumasang-ayon ka na ipadala ang impormasyong ito sa GK organizing team upang gamitin para sa mga proseso ng aplikasyon.)
*
Please Select
Yes, agree
No, I do not agree (failed application)
Signature
*
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