1. {,,, } EabylChild Care t l Gefi+r*l HousekeePing
Ref- N*,
t,l Caoking { ] Care Otd Aged/B*dridden
tAl
Name: Nationality:
Home Address : Tel :
Fiace of Blrth : Oate of Eirh; Age :
:--
Religion -.-Ht :Wt :-
$Latus: -'- Date of lrtarriage:-----
Hame nf Spsuse:
Oetrupatian Aga:
Ho. af Chitdren : [l]noo :
1 st Ghild Date of Birlh :
Father's Occ : Ags:
fJother s Occ I Age:
i,Jo. of Erothers, fllRs*,
Sisters: egu
No. of lf :
.t
{E} J
ri1 I
SPOHEFI EI'JGLISH
FOOE{ }LITTLE{ ) FAIF { i G00F {
WRITTEI,I EJ'IGLISH
I
PooR( )LTTTLE{ ) FAIR i i GOOF {
OTHER LANGUAGES
{c}
DARK { TANi'IED { FAIF {
{F}
F! FrtrlrtA FriJfl_rr-r r FFr jAnl /tra! I l-_/rl:fl lrrtia-a:lFtt.l't
2. Narne Of Schaol Year Graduated
Efementary:
High Schoet:
';".."l,.,-
'i :1 ! '"t-' 1 " |,'f,i',,l)
Coti;rge: .i':l'.'.-i-q:' ,,.i1,]'.'t5:1r.""'
Other Trainin5l : ,
Name of Employer Mstd's Postlion No of Years
j.- i'a i r-- r .-:- Fi'; ,l i]r- ; ;''-'. fr.i :.'1:._i
!!lH-+- L
t
,,/l t1' -.-:-L----..i:-i--i
r._:{ h_+tr_.r:.
-
1) Wll you wsrk$here ?......,......-..
there afo pcb fYestkl
2) Da you have sny fillergtes ?.....,......."... (t{r/l{o}
3J Dc you have sny kntrwtadge In gardenirtg ?..........
4i Can you toudr pork ?...-.-... .,,...... [Yes&l*]
5) Can you eet pork ? fYes4{r}
6! Can you do sirnpla sewing ? ,....,.......... {YesJ}b}
7J ?-----...."...-...
Oo you smoke ...--.. {fffi/No}
8] Can you dnve ?.........-.,..... -.------- fiffi/No)
9j Genyouwash ar? .......-.. ......... tYes/tbl
101 Are you willing to r,ror* 3 hausac with compensatiEn ? ....-.... f$e/f'lo)
11) C€n you beke ?--..-....,....... .....;..-........." ..---.... (Yes/H1
12] Areyouwilllngtotakecemof neulyborn?..,....,.,...... .."... {k/Ho)
13) hre yau willing to carE lnvald Fercan ?........."....." fYes/fbl
14) Are you cfroosy aboutfood ?.....-........,. ,....,.. {&rNo}
15) Are you a vegatarlan............. .-... ffiA|o)
16i Wfro udtltske carB of yourdtlldrun Flul u,utsnsfsii
3. What experience do you have in bsby-cafe and ejrtH+are ?
(Cive the age-s lhal you have laken csre of. give details ifi your offt horna or woftlng with othcrs-)
-Ll- Jr,l_r.: {- .:_.r r-f-
Whsl cxFerience do you heve fn taking care of lhe eged of bedrlddcn ? iGlva detgtts)
il-l,iq-r.,,"fi-rt. t-:i,r1r',r+ tji,f.Ir, -i.1 -l-
l-..:1
rr- .-,
-
!'ar--;l '; 'i liqr,, |,-r,
i..ql.:''l- rlr'-'rG-.,:
fll
What experiefice do lru h*ve {n Genarsl houserrurk ? (Gfue detalls)
:*i-', tl, r:..i .,riL.. .--:f rt;t i.;l ii,r,,r.
l:r|l-t.:'i.rl ii
'1,
lrthal experience do you have in coohlr€ ? (Give detailsl
j'r i
Afpllc€ntE siqflature ; i I irlrl
![{,,, } EabylChild Care t l Gefi+r*l HousekeePing
Ref- N*,
t,l Caoking { ] Care Otd Aged/B*dridden
tAl
Name: Nationality:
Home Address : Tel :
Fiace of Blrth : Oate of Eirh; Age :
:--
Religion -.-Ht :Wt :-
$Latus: -'- Date of lrtarriage:-----
Hame nf Spsuse:
Oetrupatian Aga:
Ho. af Chitdren : [l]noo :
1 st Ghild Date of Birlh :
Father's Occ : Ags:
fJother s Occ I Age:
i,Jo. of Erothers, fllRs*,
Sisters: egu
No. of lf :
.t
{E} J
ri1 I
SPOHEFI EI'JGLISH
FOOE{ }LITTLE{ ) FAIF { i G00F {
WRITTEI,I EJ'IGLISH
I
PooR( )LTTTLE{ ) FAIR i i GOOF {
OTHER LANGUAGES
{c}
DARK { TANi'IED { FAIF {
{F}
F! FrtrlrtA FriJfl_rr-r r FFr jAnl /tra! I l-_/rl:fl lrrtia-a:lFtt.l't](https://image.slidesharecdn.com/skf08-myomamalay-100711235410-phpapp01/85/sk08myo-ma-ma-lay-1-320.jpg)
![Narne Of Schaol Year Graduated
Efementary:
High Schoet:
';".."l,.,-
'i :1 ! '"t-' 1 " |,'f,i',,l)
Coti;rge: .i':l'.'.-i-q:' ,,.i1,]'.'t5:1r.""'
Other Trainin5l : ,
Name of Employer Mstd's Postlion No of Years
j.- i'a i r-- r .-:- Fi'; ,l i]r- ; ;''-'. fr.i :.'1:._i
!!lH-+- L
t
,,/l t1' -.-:-L----..i:-i--i
r._:{ h_+tr_.r:.
-
1) Wll you wsrk$here ?......,......-..
there afo pcb fYestkl
2) Da you have sny fillergtes ?.....,......."... (t{r/l{o}
3J Dc you have sny kntrwtadge In gardenirtg ?..........
4i Can you toudr pork ?...-.-... .,,...... [Yes&l*]
5) Can you eet pork ? fYes4{r}
6! Can you do sirnpla sewing ? ,....,.......... {YesJ}b}
7J ?-----...."...-...
Oo you smoke ...--.. {fffi/No}
8] Can you dnve ?.........-.,..... -.------- fiffi/No)
9j Genyouwash ar? .......-.. ......... tYes/tbl
101 Are you willing to r,ror* 3 hausac with compensatiEn ? ....-.... f$e/f'lo)
11) C€n you beke ?--..-....,....... .....;..-........." ..---.... (Yes/H1
12] Areyouwilllngtotakecemof neulyborn?..,....,.,...... .."... {k/Ho)
13) hre yau willing to carE lnvald Fercan ?........."....." fYes/fbl
14) Are you cfroosy aboutfood ?.....-........,. ,....,.. {&rNo}
15) Are you a vegatarlan............. .-... ffiA|o)
16i Wfro udtltske carB of yourdtlldrun Flul u,utsnsfsii](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)