BIODATA. *Please ensure that you run through the information within the biodata as it is an important document to help you select a suitable FDW

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BIODATA AMBW-090#RAYA *Please ensure that you run through the information within the biodata as it is an important document to help you select a suitable FDW (A) A1 PROFILE OF FDW (BIO-DATA OF FOREIGN DOMESTIC WORKER(FDW) Personal Information 1. Name: Yuliana Rahmawati 2. Date of birth : 1 2 0 7 9 1 Age: 2 6 Place of birth: Jakarta 4. Height & weight : 1 5 3 cm 6 0 kg 5. Nationality : INDONESIAN 6. Residential addres in home country: JL. LETJEN S PARMAN RT.02/18 BLIMBING MALANG 7. Name of port / airport to be repatriated to : JAKARTA 8. Contact number in home country : 085212279187 9. Religion : MOESLIM 10. Education level : JUNIOR HIGH SCHOOL 0813 11. Number of siblings : 5 IAM 3 IN FAMILY 12. Marital status : DIVORCE 13. Number of children : 2 GIRL & 1 BOY - Age(s) of children (if any) : 7-4 YO & 5 MONTH A2 Medical History/Dietary Restrictions 14. Allergies (if any) : 15. Past and existing illnesses (including chronic ailments and illnesses requiring medication) : i. Mental illness : ii. Epilepsy : iii. Asthma : iv. Diabetes : v. Hypertension : x. Others : 16. Physical disabilities : 17. Dietary restrictions : A3 Others vi. Tuberculosis : vii. Heart disease : viii. Malaria : ix. Operations : 18. Food handling preferences:no pork : No pork No beef Others : 19. Preference for rest day : No offday rest day(s) per month 20. Any other remarks : A-1

(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 Experience Assessment/Observation 1. Care of infants/children If yes, state the no. of Please state qualitative observations of FDW and/or ratethefdw (indicate N.A. of no evaluation was done) Poor Excellent...N.A 1 2 3 4 5 N.A Please specify age range:1-10 years old 2. Care of elderly 3. Care of disabled 4. General housework 5. Cooking Indonesian food Please specify cuisines: 6. Language abilities (spoken) English 7. Other skills, if any A-2

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 Experience Assessment/Observation 1. Care of infants/children If yes, state the no. of years 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 Please specify age range:1-10 years old 2. Care of elderly 3. Care of disabled 4. General housework 5. Cooking Indonesian food Please specify cuisines: 6. Language abilities (spoken) English 7. Other skills, if any From EMPLOYMENT HISTORY OF THE FDW C1 Employment History Overseas Date To Country (including Employer Work Duties Remarks FDW s home country) 2009 2011 MALAYSIA ENDIKEY KILANG ELEKTRONIC Finish Contract A-3

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: 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 FDW Name and Signature Number Date: Mei 09, 2018 EA Personnel Name and Registration Date: I have gone through the 4 page biodata of this FDW and confirm that I would like to employ her Employer Name and NRIC No. Date: IMPORTANT TES FOR EMPLOYERS WHEN USING THE SERVICES OF AN EA Do consider asking for an FDW who is able to communicate in a language you require, and interview her (in person/phone/videoconference) to ensure that she can communicate adequately.

Do consider requesting for an FDW who has a proven ability to perform the chores you require, for example, performing household chores (especially if she is required to hang laundry from a high-rise unit), cooking and caring for young children or the elderly. Do work together with the EA to ensure that a suitable FDW is matched to you according to your needs and requirements. You may wish to pay special attention to your prospective FDW s employment history and feedback from the FDW s previous employer(s) before employing her.