工作经验1(Experience 1)
雇主(Employer):	地点(Location):
职责(Position):	时长(Duration):
离职原因(Reason for Leave):

国外工作经验1(Experience 1)
国家(Country):	雇主家庭人数(Family Members):
地址(Addr):	工作职责(Postion):
开始时间(From):	离开时间(To):
离职原因(Reason for Leave):

1. What experience do you have in baby care? 簡述照顧小孩的經驗

2. Do you have experience in looking after new born baby? Simply describe it簡述照顧新生兒的經驗

3. Do you have any relative or friend in China? State their names and address有親戚或朋友在中国嗎？寫名字和地址

4.  Can you prepare a simple family meal without any supervision? What simple meals can you cook? How about Chinese food? 你會做在沒有任何督導的情况下做簡單的家常菜嗎？你會做什麼樣的菜? 會中餐嗎？

8.  Give a truthful answer on the following questions (select the option) 據實回答下列問題
a) Are you willing to take no day-off within 2 years?同意2年無休假	同意(Agree)
b) Can you promise not to bring or buy mobile phone to China?同意不用手機	同意(Agree)
c) Can you promise not to use the telephone without the permission of your employer?無雇主許可不可用電話	同意(Agree)
d) Can you promise not to invite friends and relatives without the consent of your employer?不可帶朋友去雇主家	同意(Agree)
e) Can you promise not to put on make-up but to dress properly while at work?工作時候不化妝，穿衣適度	同意(Agree)
f) Can you promise not to ask for advance salary from your employer under any circumstances?不可借錢	同意(Agree)

9.  DECLARATION BY APPLICANT 工人宣言

I hereby confirm that all information and answers given are true and correct and that any deliberate falsification of information may result in my being repatriated back to country of origin at my expense. 我確認上述問題的答案都是真實的，如果有任何的虛假的捏造導致我被遣返回國，我願意承擔所有費用 同意以上条款(I agree)

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