Helper Registration (English)

ENSEMBLE AGENCY CARE FOR OUR HELPERS
Helper Registration
Full Name *
Gender *

Female Male
What Job are you applying for? *

Helper Driver Gardener
Please upload your photo *
Your photo should look professional like a passport photo, but with a SMILE and better to TIGHT your hair. Please look STRAIGHT into the camera. No side profile picture. Don't worry about the background.
Mobile *
Is your Mobile number same as WhatsApp? *

Yes No
WhatsApp *
Nationality *

Filipino Indonesian Thai Sri Lankan Bangladeshi
Date of Birth (DD-MM-YYYY) *
e.g. 06-12-1979
Age *
Contract status *

Finished / About to Finish Terminated for Good Reason Break Contract / Terminated Contract Overseas Application
Do you have a HKID? *

Yes No
HKID Number *
Expected Leaving Employer Date *
Do you have Valid Passport? *

Yes No
Marital Status *

Single Married Widowed Separated Divorced
Do you have children? *

Yes No
Age of your children *
e.g. 5/12/14 (a 5-yr-old, a 12-yr-old and a 14-yr-old child)
Religion *

Christian Muslim Buddhist No Religious
Height (CM) *
Weight (KG) *
Education *

Elementary / Primary High School / Secondary College Undergraduate College Graduate
Specialized Course

Bachelor in Nursing Midwifery Course Caregiver Course Bachelor in Education None
Language Skills
English *

Good Fair Basic Learning None
Cantonese *

Good Fair Basic Learning None
Mandarin *

Good Fair Basic Learning None
My Skills and Preferences
Take care of Baby (Age 0-1)
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Toddler (Age 2-4)
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Child (Age 5-17)
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Elderly (65+)
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Disabled
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Bedridden
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Special Needs Child
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Pet (Dog(s))
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Take care of Pet (Cat(s))
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Cooking
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Household Chores
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Car Washing
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Driving
Your Willingness *

Willing Not willing
Your Experience *

Experienced Learning None
Oversea Experience *

Hong Kong Middle East Singapore Taiwan
Latest Employer (Experience 1)

Please start from your LATEST / MOST RECENT employer to your last.
Work Location (Experience 1) *

Hong Kong Middle East Singapore Taiwan
Place (Experience 1) *
Example: Lam Tin, HK
Employer Nationality (Experience 1) *

Hong Kong Mainland China Westerner
Household Size (Experience 1)
(Square Feet)
Family Size (Experience 1) *
How many members in the family?
Main Duties (Experience 1) *

Take care of Baby (0-1) Take care of Toddler (Age 2-4) Take care of Child (Age 5-17) Take care of Elderly (65+) Take care of Disabled Person Take care of Bedridden Take care of Special Needs Child Take care of Pet Cooking Household Chores Car Washing Driving Gardening Grocery Shopping
Start Date (Experience 1) *
(Month - Year) When did you start employment?
End Date (Experience 1) *
(Month - Year) When did your employment end, or is expected to end?
Would you like to add one more previous employment history? *

Yes No
Previous Employment History (Experience 2)
Work Location (Experience 2) *

Hong Kong Middle East Singapore Taiwan
Employer Nationality (Experience 2) *

Hong Kong Mainland China Westerner
Household Size (Experience 2)
(Square Feet)
Family Size (Experience 2) *
How many members in the family?
Main Duties (Experience 2) *

Take care of Baby (0-1) Take care of Toddler (Age 2-4) Take care of Child (Age 5-17) Take care of Elderly (65+) Take care of Disabled Person Take care of Bedridden Take care of Special Needs Child Take care of Pet Cooking Household Chores Car Washing Driving Gardening Grocery Shopping
Start Date (Experience 2) *
(Month - Year) When did you start employment?
End Date (Experience 2) *
(Month - Year) When did your employment end?
Would you like to add one more previous employment history? *

Yes No
Previous Employment History (Experience 3)
Work Location (Experience 3) *

Hong Kong Middle East Singapore Taiwan
Employer Nationality (Experience 3) *

Hong Kong Mainland China Westerner
Estimated Household Size (Experience 3)
(Square Feet)
Family Size (Experience 3) *
How many members in the family?
Main Duties (Experience 3) *

Take care of Baby (0-1) Take care of Toddler (Age 2-4) Take care of Child (Age 5-17) Take care of Elderly (65+) Take care of Disabled Person Take care of Bedridden Take care of Special Needs Child Take care of Pet Cooking Household Chores Car Washing Driving Gardening Grocery Shopping
Start Date (Experience 3) *
(Month - Year) When did you start employment?
End Date (Experience 3) *
(Month - Year) When did your employment end?
Other Informations
Are you scared of Cats? *

Yes No
Are you scared of Dogs? *

Yes No
Do you have tattoos? *

Yes No
Do you smoke? *

Yes No
Do you drink alcohol? *

Yes No
Are you willing to share a room with family members of the employer? *

Yes No Negotiable
Can you take care two smaller kids? *

Yes No Negotiable
Can you take care of newborn baby at night? *

Yes No Negotiable
Are you willing to share a room with kids? *

Yes No Negotiable
Are you willing to have flexible sleep arrangements? *

Yes No Negotiable
Will you consider flexible holiday arrangements, i.e. Weekdays? *

Yes No Negotiable
Are you willing to work with another helper? *

No Negotiable
Are you willing to handle pork? *

Yes No Negotiable
Expected minimum salary (HKD)
For our reference only
Interview Arrangements
I can interview on *

Any day of the week Sunday Monday Tuesday Wednesday Thursday Friday Saturday
How do you prefer to be contacted? *

WhatsApp Phone Call
What is your preferred time to be contacted? *

Morning Afternoon Evening
Your Signature *

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I HEREBY AGREE THAT ENSEMBLE HUMAN RESOURCES CO. LTD. (BELOW CALLED AS - EHRC) MAY DISCLOSE MY PERSONAL PROFILE TO POTENTIAL EMPLOYERS FOR THE PURPOSE FOR SEEKING EMPLOYMENT AS DOMESTIC HELPER FOR ME. I AUTHORIZE EHRC AND RELATED PARTNERS THIS INCLUDE FACEBOOK, YOUTUBE, WHATSAPP, LINE, WECHAT, WEIBO, HELERPDB AND OTHER ONLINE SOCIAL MEDIA. Clear
Thank you for effort filling up the form!

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