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Details - Thelma Abarientos Domingo  
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Ref. Num: Thelma 52
(A) PROFILE OF FDW

A1 Personal Information
 
1. Name :
Thelma Abarientos Domingo
2. Date of Birth :
3/2/1966     Age: 59 yrs
3. Place of Birth :
Ilocos Sur Phil
4. Height & Weight :
155 cm 51 kg
5. Nationality :
Filipino
6. Residential address in home country :
Ilocos Sur Phil
7. Name of port/airport to be repatriated to :
8. Contact number in home country :
9. Religion :
Catholic
10. Education level :
Junior High School
11. Number of siblings :
7
- Position among the siblings (if any) :
12. Marital status :
Widowed
13. Number of children :
3
- Age(s) of children (if any) :
26, 25, 23
 
A2 Medical History/Dietary Restrictions
 
14. Allergies (if any) :
15. Past and existing illnesses (including chronic ailments and illnesses requiring medication):

  Yes No   Yes No
i. Mental illness vi. Tuberculosis
ii. Epilepsy vii. Heart disease
iii. Asthma viii. Malaria
iv. Diabetes ix. Operations
v. Hypertension x. Others: N.A

16. Physical disabilities :
17. Dietary restrictions :
18. Food handling preferences: No Pork  No Beef   Others:
 
A3 Others
 
19. Preference for rest day :
rest day(s) per month.
20. Any other remarks :

(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 and also made observation of FDW 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 FDW and/or rate the FDW (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:
0 - 6 months		 Yes Yes, 18 year(s) Excellent

2 Care of elderly Yes No, 0 year(s) Fair

3 Care of disabled Yes No, 0 year(s) N.A

4 General housework Yes Yes, 18 year(s)

5 Cooking


Please specify cuisines:
 Yes Yes, 18 year(s) Excellent

6 Language abilities (spoken)


Please specify:
 Yes, 0 year(s) Excellent

Tagalog, English, Ilocano
7 Other skills, if any


Please specify:
 Yes Yes, 0 year(s)

Baking cake, western duisine

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 FDW 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 FDW and/or rate the FDW (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:
 Yes Yes, 0 year(s)

2 Care of elderly Yes Yes, 0 year(s)

3 Care of disabled Yes Yes, 0 year(s).

4 General housework Yes Yes, 0 year(s)

5 Cooking


Please specify cuisines:
 Yes Yes, 0 year(s)

6 Language abilities (spoken)


Please specify:
 Yes, 0 year(s)

7 Other skills, if any


Please specify:
 Yes Yes, 0 year(s)


(C) EMPLOYMENT HISTORY OF THE FDW

C1 Employment History Overseas
Date Country (including FDW's home country) Employer Work Duties Remarks
From To
Feb 2017 Sep 2018 Singapore Australia family Condo, 16 yrs old twin
Sep 2016 Feb 2017 Singapore Australia Family Condo, 3 kids (6, 4 and 6 months)
May 2015 Sep 2016 Singapore Canadian Family 4 level house, 3 kids (13, 12 8) 2 dogs
Aug 2011 Aug 2015 Singapore American Family 2 level condo 3 kids (13, 12 8) 1 dog
 
C2 Employment History in Singapore
Previous working experience in Singapore:   Yes   No
(The EA is required to obtain the FDW's employment history from MOM and furnish the employer with the employment history of the FDW. The employer may also verify the FDW'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 FDW TO BE INTERVIEWED BY PROSPECTIVE EMPLOYER
FDW is not available for interview
FDW can be interviewed by phone
FDW can be interviewed by video-conference
FDW can be interviewed in person

(E) OTHER REMARKS
N/A
 
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