BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)
*Please ensure that you run through the information within the biodata as it is an important document to help you select a suitable FDW
(A) PROFILE OF FDW
A1 Personal Information
1. Name: Ani
2. Date of birth: 10-08-1986 Age: 37 Yo
3. Place of birth:
Sukabumi
4. Height & weight: 150cm / 50kg
5. Nationality: INDONESIAN
6. Residential address in home country: Sukabumi
7. Name of port / airport to be repatriated to: SOEKARNO HATTA
8. Contact number in home country: -
9. Religion: MOSLEM
10. Education level: JUNIOR HIGH SCHOOL
11. Number of siblings: 6 SIBLINGS No. 6
12. Marital status: Married
13. Number of children: 2 children
- Age(s) of children (if any): - 17 years , 7 years
A2 Medical History/Dietary Restrictions
14. Allergies (if any): -
15. Past and existing illnesses (including chronic ailments and illnesses requiring medication):
Yes No Yes No
i. Mental illness ___ V vi. Tuberculosis ___ V
ii. Epilepsy ___ V vii. Heart disease ___ V
iii. Asthma ___ V viii. Malaria ___ V
iv. Diabetes ___ V ix. Operations ___ V
16. Physical disabilities: -
17. Dietary restrictions: -
18. Food handling preferences: _ No pork _ No beef _ others: can handle ALL food
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A3 Others
19. Preference for rest day: No rest day(s) per month.
20. Any other remarks: Afraid of all dogs
(B) SKILLS OF FDW
B1 Method of Evaluation of Skills
Please indicate the method(s) used to evaluate the FDW’s skills (can tick more than one):
Based on FDW’s declaration, no evaluation/observation by Singapore EA or overseas training centre/EA
Interviewed by Singapore EA
Interviewed via telephone/teleconference
Interviewed via videoconference
Interviewed in person
Interviewed in person and also made observation of FDW in the areas of work listed in table
S/NO Areas of Work Willingness Experience Assessment/Observation
Yes/No Yes/No Please state qualitative observations of FDW and/or rate the
If yes, state FDW (indicate N.A. of no evaluation was done)
the no. of Poor ……………………Excellent...N.A
years 1 2 3 4 5 N.A
1. Care of infants/children YES YES
Please specify age range:
2. Care of elderly YES NO
3. Care of disabled NO NO
4. General housework YES YES
5. Cooking YES (Indonesia
food)
Please specify cuisines:
6. Language abilities (spoken)
Fair English
Please specify:________ (still learning)
7. Other skills, if any - -
Please specify:________
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Interviewed by overseas training centre / EA (Please state name of foreign training centre / EA: ) _______________________
State if the third party is certified (e.g. ISO9001) or audited periodically by the EA: __________________________________
Interviewed via telephone/teleconference
Interviewed via videoconference
Interviewed in person
Interviewed in person and also made observation of FDW in the areas of work listed in table
S/NO Areas of Work Willingness Experience Assessment/Observation
Yes/No Yes/No Please state qualitative observations of FDW and/or rate the
If yes, state FDW (indicate N.A. of no evaluation was done)
the no. of Poor ……………………Excellent...N.A
years 1 2 3 4 5 N.A
1. Care of infants/children YES YES
Please specify age range:
2. Care of elderly YES NO
3. Care of disabled NO NO
4. General housework YES YES
5. Cooking YES NO
Please specify cuisines:
6. Language abilities (spoken)
Please specify:________ INGGRIS
7. Other skills, if any - -
Please specify:________
(C) EMPLOYMENT HISTORY OF THE FDW
C1 Employment History Overseas
Date Country Employer Work Duties Remarks
(including
From To
FDW’s home
country)
2004 2006 Malaysia Jamil House Kepping, ironing,
washing,
C2 Employment History in Singapore
Previous working experience in Singapore Yes V No
(The EA is required to obtain the FDW’s employment history from MOM and furnish the employer with the employment history
of the FDW. The employer may also verify the FDW’s employment history in Singapore through WPOL using SingPass)
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C3 Feedback from previous employers in Singapore
Feedback was/was not obtained by the EA from the previous employers. If feedback was obtained (attach
testimonial if possible), please indicate the feedback in the table below:
Feedback
Employer 1
Employer 2
(D) AVAILABILITY OF FDW TO BE INTERVIEWED BY PROSPECTIVE EMPLOYER
FDW is not available for interview
√ FDW can be interviewed by phone
√ FDW can be interviewed by video-conference
FDW can be interviewed in person
(E) OTHER REMARKS
Has working experience in Indonesia, willing to learn and keen to work.
____________________________ ___________________________________
FDW Name and Signature EA Personnel Name and Registration Number
Date: Date:
I have gone through the 4 page biodata of this FDW and confirm that I would like to employ her
ANGGI PRASTIANI
Employer Name and NRIC No.
Date:
***************
IMPORTANT NOTES FOR EMPLOYERS WHEN USING THE SERVICES OF AN EA
Do consider asking for an FDW who is able to communicate in a language you require, and interview her (in
person/phone/videoconference) to ensure that she can communicate adequately.
Do consider requesting for an FDW who has a proven ability to perform the chores you require, for example, performing
household chores (especially if she is required to hang laundry from a high-rise unit), cooking and caring for young children
or the elderly.
Do work together with the EA to ensure that a suitable FDW is matched to you according to your needs and requirements.
You may wish to pay special attention to your prospective FDW’s employment history and feedback from the FDW’s
previous employer(s) before employing her.
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