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 Ref:M-3059

1	Name	S Arockiyamary
2	Date of Birth	4-April-1980
	Age	42 years old
3	Place of birth
4	Height(cm)	150
	Weight(kg)	40
5	Nationality	India
6	Residential address in home country
7	Name of port/airport to be repatriated to
8	Contact number in home country
9	Religion	Hindu
10	Education level
11	No. of Siblings
12	Marital status	Married
13	No of children
	Age of children

A2. MEDICAL HISTORY/DIETARY RESTRICTIONS

Yes No i. Mental illness ii. Epilepsy iii. Asthma iv. Diabetes v. Hypertension

Yes No vi. Tuberculosis vii. Heart disease viii. Malaria ix. Operations x. Others

A3  Others
19.	Basic salary	preferred Rest Day per Month

20.	Any other remarks
21.	care for pets

(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 also made observation

S/No	Areas of Work	WillIng ness Yes/No	Experience Yes/No If yes, state the no.of years	Assessment/Observation Please state qualitative observations of FDW and/or rate the FDW (indicate N.A. of no evaluation was done) Poor ................Excellent...N.A 12 3 4 5 N.A
1	Care of infants
	Care of children Age:
2	Care of elderly
3	Care of disabled
4	General housework
5	Cooking Please specify cuisines
6	language abilities (spoken) Please specify:
7	Other skills,if any Please specify:

Date (From - To) country (including FDW'S home country) Employer Name		Work Duties	Remarks
1	-
2	-
3	-
4	-
5	-
Additional Employment History

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Employer 1
Employer 2