BIODATA OF DOMESTIC HELPER

NO 13455

NAME DIAN ISTIANA

AGE 29

HEIGHT 5' 0" / 152 cm

WEIGHT 90 LB / 40 kg

PLACE OF BIRTH PONOROGO

DATE OF BIRTH 22 November 1978

ADDRESS JL. RAYA TANJUNG NO. 52-54

GEMPOL - PASURUAN

MARITAL STATUS MARRIED

RELIGION MOSLEM

EDUCATION JUNIOR HIGH

CHINESE ZODIAC HORSE

REMARK
WORKED IN SURABAYA 2 YRS, CARED OF CHILDREN 5 YRS OLD
SHE HAS EXP. IN TAKING CARE HER OWN BABY
SHE IS NOT AFRAID OF DOG
SHE IS LEARNING CANTONESE & COOKING CHINESE FOOD IN THE TRAINIGN CENTRE NOW
OBEDIENT & HARD WORKING

INTERVIEW APPRAISAL
POOR FAIR GOOD
PERSONALITY V
FACIAL EXPRESSION V
TIDINESS V
SPOKEN CANTONESE V
SPOKEN ENGLISH V
SPOKEN MANDARIN V
SPOKEN OTHER LANGUAGES V

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FAMILY INFORMATION

FATHER'S NAME MARIYONO OCCUPATION SELF EMPLOYED

MOTHER'S NAME ISMU OCCUPATION SELF EMPLOYED
HUSBAND'S NAME WARIS MUSTOFA OCCUPATION SELF EMPLOYED
NO.OF CHILDREN 1 CHILDREN AGE 4
NO.OF BROTHER AND SISTER 3/2 I AM NO. 2 IN THE FAMILY

EXPERIENCE AS DOMESTIC HELPER

EMPLOYER'S NAME ANTI RIYANAH

FROM 2005 TO 2007

DUTIES
CARE OF NEW BORN BABY HOW MANY - AGES -
CARE OF CHILDREN HOW MANY 1 AGES 5
CARE OF ELDERLY HOW MANY - AGES -
CARE OF DISABLE HOW MANY - AGES -

NO. OF ADULT IN EMPLOYER'S FAMILY 2

WORKING HOURS 16

EMPLOYER'S RESIDENCE SURABAYA, INDONESIA

SALARY RP 400.000

REASON TO QUIT WANTS TO WORK TO HKG

________________________________________________________________________________

EMPLOYER'S NAME
FROM TO

DUTIES

CARE OF NEW BORN BABY HOW MANY AGES

CARE OF CHILDREN HOW MANY AGES
CARE OF ELDERLY HOW MANY AGES
CARE OF DISABLE HOW MANY AGES

NO. OF ADULT IN EMPLOYER'S FAMILY

WORKING HOURS

EMPLOYER'S RESIDENCE
SALARY

REASON TO QUIT

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MEDICAL BACKGROUND
YES NO
HAVE YOU EVER BEEN TREATED FOR ANY MENTAL DISORDER ? V
HAVE YOU SUFFERED FROM ANY SERIOUS / PROLONGED ILLNESSES ? V
HAVE YOU EVER HAD A MAJOR SURGERY ? V
DO YOU SUFFER FROM ANY SKIN IRRITATIONS / DISEASES ? V
DO YOU SMOKE ? V
DO YOU CONSUME ALCOHOL ? V

GENERAL INFORMATION & EXPERIENCES

WILLING TO LEARN EXPERIENCED

TAKING CARE OF NEWBORN TO 3 MONTHS OLD BABY V

TAKING CARE OF 3 - 12 MONTHS BABY V
CHANGING BABY'S DIAPERS V
STERILIZE BABY BOTTLES V
FEEDING THE BABY V
TAKING CARE OF 1 TO 5 YEAR-OLD CHILD V
TAKING CARE OF 5 TO 10 YEAR-OLD CHILD V
GENERAL HOUSE WORK V
USING AND OPERATING ELECTRICAL APPLIANCES V
DOING LAUNDRY BY HAND V
IRONING V
COOKING CHINESE FOOD V
CARE OF ELDERLY V

PLEASE ANSWER THE FOLLOWING QUESTIONS

YES NO

ARE YOU PREPARED TO WORK FOR A FAMILY WITH MORE THAN 6 V

MEMBER?
ARE YOU WILLING TO HAVE YOUR HAIR CUTS IF YOUR EMPLOYER V
REQUIRES?
ARE YOU WILLING TO ACCEPT THE NON-WORKING DAYS SET-UP BY YOUR V
EMPLOYER?
ARE YOU WILLING TO WORK WITHOUT YOUR OWN PRIVATE ROOM? V

ARE YOU PREPARED TO FINISH YOUR GENERAL HOUSEHOLD CHOICE V

BEFORE GOING OUT FOR HOLIDAY?
ON YOUR DAY OFF, ARE YOU WILLING TO RETURN HOME NO LATER THAN V
THE TIME SET BY YOUR EMPLOYER?
CAN YOU PROMISE NOT TO USE THE TELEPHONE WITHOUT THE V
PERMISSION OF YOUR EMPLOYER?
CAN YOU PROMISE NOT TO INVITE FRIENDS OR RELATIVES WITHOUT THE V
PERMISSION OF YOUR EMPLOYER?

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PLEASE ANSWER THE FOLLOWING QUESTIONS
YES NO

CAN YOU PROMISE NOT TO PUT ON MAKE UP BUT TO DRESS PROPERLY V

WHILE AT WORK?
CAN YOU PROMISE NOT TO ASK FOR ADVANCE SALARY FROM YOUR V
EMPLOYER UNDER ANY CIRCUMSTANCES?
ARE YOU PREPARED TO EAT THE FOOD THAT YOUR EMPLOYER V
PROVIDES?
ARE YOU WILLING TO HANDLE OR TO COOK PORK? V

ARE YOU AFRAID OF DOGS, CATS, OR OTHER PETS? V

ARE YOU WILLING TO EAT PORK ? V

ARE YOU WILLING NOT TO HAVE HOLIDAY FOR THE FIRST SIX MONTHS? V

EDUCATION

NAMES OF ALL SCHOOLS, CITY, PROVINCE, ACADEMIC / PERIOD OF STUDY

COLLAGES / UNIVERSITIES COUNTRY PROFESSIONAL
ATTENDED ATTAINMENT FROM TO

- SD BANYU DONO I PONOROG ELEMENTARY SCHOOL 1985 1991

- SMP MUHAMADIYAH PONOROGO JUNIOR HIGH SCHOOL 1991 1994

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