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Lic. NO. 01C2920
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Name
:
Date of Birth
:
Age
:
Place of Birth
:
Height
:
cm
Weight
:
kg
Nationality
:
Address
:
Religion
:
Education
:
No of Siblings
:
I am the No
:
Marital Status
:
No of Children
:
Age
:
Working Experience
Language
Language
Spoken
Written
MANDARIN
ENGLISH
MALAY
RECITING QURAN
Medical Background
Medical
Answer
HAVE YOU EVER BEEN TREATED FOR ANY MENTAL DISORDERS ?
HAVE YOU SUFFERED FROM ANY SERIOUS / PROLONGED ILLNESSES ?
ARE YOU SUFFER FROM ANY SKIN IRRITATION / DISEASES ?
MEDICAL REMARKS :
Individual Ability
Task
Willing
Experience
TAKE CARE OF NEW BORN TO 3 MONTHS BABY
TAKE CARE OF BABY DURING THE NIGHT TIME
TAKING CARE OF ELDERLY / DISABLE PERSON
USING AND OPERATING HOUSE APPLIANCE
DOING THE LAUNDRY BY HAND
WASHING THE CAR
ARE YOU AFRAID OF PETS ( DOG , CAT )
ARE YOU PREPARED TO WORK FOR A NON MUSLIM EMPLOYER
Declaration
I declare that all particulars given herein are true and accurate to the best of my knowledge.
Remarks
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