Application Form

Name

Date of Birth

Place of Birth

Age

Height(cm)

Nationality

Weight

Religion

Number of Siblings

Residential Address in Home Country

Name of Port/Airport to be Repatriated To

Marital Status

Number of Children

Highest Education Level

1. Does the FDW have any food/drug allergy?YesNo
2. Is the FDW afraid of handling pets? (eg. dogs and cats)?YesNo
3. Does the FDW have any dietary restrictions?YesNo
4. Does the FDW have any food handling preference?YesNo
5. Preferred number of rest day(s) per month?
6. Preferred rest day
7. Is the FDW willing to work on rest days with compensation?YesNo
8. Expected salary

English ProficiencyBasicIntermediateAdvance
Chinese ProficiencyBasicIntermediateAdvance
Bahasa ProficiencyBasicIntermediateAdvance
Tamil ProficiencyBasicIntermediateAdvance

Year(s) of experience working in Singapore

Total number of employers that the FDW have worked for

Longest length of employment

Other Relevant Employment History(incl. FDW's home country)

Other Remarks