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BIO-DATA OF MIGRANT DOMESTIC WORKER (MDW)
*Please ensure that you run through the information within the biodata as it is an important document to help you select a suitable MDW
(A) PROFILE OF MDW
A1 Personal Information
Type
--Select--
New
Transfer
Ex-Singapore
Experienced
Reference Code
Upload Picture
First Name
Middle Name
Last Name
Gender
--Select--
Male
Female
Birthday
Height (cm)
Weight (kg)
Place of Birth
Nationality
--Select--
Filipino
Indonesian
Myanmese
Bangladeshi
Indian
Sri Lankan
Cambodian
Residential address in home country
Country
Name of port / airport to be repatriated to
Contact no. in home country
Email
Marital Status
--Select--
Single
Married
Widowed
Separated
Single Parent
Religion
--Select--
Atheist
Baptist
Born-Again
Buddhist
Charismatic
Evangelical
Hinduism
Iglesia Ni Cristo
Islam
Jehovah`s Witness
Mormon
No religion
Pentecostal
Roman Catholic
Seventh-Day Adventist
Others
Education level
--Select--
College Graduate
College Undergraduate
Secondary
Elementary
None
Languages Spoken
Number of siblings
Number of children
Age(s) of children (if any)
A2 Medical History/Dietary Restrictions
Allergies (if any)
Physical Disability
Past and Existing Illnesses (including chronic ailments and illnesses requiring medication)
*Check if Yes
Mental Illness
Epilepsy
Asthma
Diabetes
Hypertension
Tuberculosis
Heart Disease
Malaria
Operations
Others
Dietary Restrictions
Food Handling Preferences :
No Pork
No Beef
Others
A3 Others
Preference for rest day
rest day(s) per month.
Any other remarks
(B) SKILLS OF MDW
B1 Method of Evaluation of Skills
Please indicate the method(s) used to evaluate the MDW’s skills (can tick more than one):
Based on MDW’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 MDW in the areas of work listed in table
S/No
Areas of Work
Willingness
(Yes/No)
Experience
(Yes/No)
If yes, state the no. of years
Assessment/Observation
Please state qualitative observations of MDW and/or rate the MDW (indicate N.A. of no evaluation was done)
Poor ……………………Excellent...N.A
1 2 3 4 5 N.A
1.
Care of infants/children
Please specify age range:
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
2.
Care of elderly
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
3.
Care of disabled
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
4.
General housework
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
5.
Cooking
Please specify cuisines:
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
6.
Language abilities (spoken)
Please specify:
--Select--
Yes
No
1
2
3
4
5
NA
7.
Other skills, if any
Please specify:
--Select--
Care for Dogs and Cats
Care for Teenagers
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
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 MDW in the areas of work listed in table
S/No
Areas of Work
Willingness
(Yes/No)
Experience
(Yes/No)
If yes, state the no. of years
Assessment/Observation
Please state qualitative observations of MDW and/or rate the MDW (indicate N.A. of no evaluation was done)
Poor ……………………Excellent...N.A
1 2 3 4 5 N.A
1.
Care of infants/children
Please specify age range:
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
2.
Care of elderly
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
3.
Care of disabled
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
4.
General housework
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
5.
Cooking
Please specify cuisines:
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
6.
Language abilities (spoken)
Please specify:
--Select--
Yes
No
1
2
3
4
5
NA
7.
Other skills, if any
Please specify:
--Select--
Yes
No
--Select--
Yes
No
1
2
3
4
5
NA
(C)
EMPLOYMENT HISTORY OF THE MDW
C1 Employment History Overseass
Date From
Date To
Country (including MDW’s home country)
Employer
Work Duties
Remarks
C2 Employment History in Singapore
Previous working experience in Singapore
(The EA is required to obtain the MDW’s employment history from MOM and furnish the employer with the employment history of the MDW. The employer may also verify the MDW’s employment history in Singapore through WPOL using SingPass)
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 MDW TO BE INTERVIEWED BY PROSPECTIVE EMPLOYER
MDW is not available for interview
MDW can be interviewed by phone
MDW can be interviewed by video-conference
MDW can be interviewed in person
(E)
OTHER REMARKS
SUBMIT
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