Helper Registration (English)

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

FemaleMale
What Job are you applying for?*

HelperDriverGardener
Please upload your photo*

Browse Files
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. Cancelof
Mobile*
Is your Mobile number same as WhatsApp?*

YesNo
WhatsApp*
Nationality*

FilipinoIndonesianThaiSri LankanBangladeshiOther
Date of Birth (DD-MM-YYYY)*
e.g. 06-12-1979
Age*
Contract status*

Finished / About to FinishTerminated for Good ReasonBreak Contract / Terminated ContractOverseas Application
Do you have a HKID?*

YesNo
HKID Number*
Expected Leaving Employer Date*
Do you have Valid Passport?*

YesNo
Marital Status*

SingleMarriedWidowedSeparatedDivorced
Do you have children?*

YesNo
Age of your children*
e.g. 5/12/14 (a 5-yr-old, a 12-yr-old and a 14-yr-old child)
Religion*

ChristianMuslimBuddhistNo ReligiousOther
Height (CM)*
Weight (KG)*
Education*

Elementary / PrimaryHigh School / SecondaryCollege UndergraduateCollege Graduate
Specialized Course

Bachelor in NursingMidwifery CourseCaregiver CourseBachelor in EducationNone
Language Skills
English*

GoodFairBasicLearningNone
Cantonese*

GoodFairBasicLearningNone
Mandarin*

GoodFairBasicLearningNone
My Skills and Preferences
Take care of Baby (Age 0-1)
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Toddler (Age 2-4)
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Child (Age 5-17)
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Elderly (65+)
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Disabled
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Bedridden
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Special Needs Child
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Pet (Dog(s))
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Take care of Pet (Cat(s))
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Cooking
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Household Chores
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Car Washing
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Driving
Your Willingness*

WillingNot willing
Your Experience*

ExperiencedLearningNone
Oversea Experience*

Hong KongMiddle EastSingaporeTaiwanOther
Latest Employer (Experience 1)

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

Hong KongMiddle EastSingaporeTaiwanOther
Place (Experience 1)*
Example: Lam Tin, HK
Employer Nationality (Experience 1)*

Hong KongMainland ChinaWesternerOther
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 PersonTake care of BedriddenTake care of Special Needs ChildTake care of PetCookingHousehold ChoresCar WashingDrivingGardeningGrocery 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?*

YesNo
Previous Employment History (Experience 2)
Work Location (Experience 2)*

Hong KongMiddle EastSingaporeTaiwanOther
Employer Nationality (Experience 2)*

Hong KongMainland ChinaWesternerOther
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 PersonTake care of BedriddenTake care of Special Needs ChildTake care of PetCookingHousehold ChoresCar WashingDrivingGardeningGrocery 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?*

YesNo
Previous Employment History (Experience 3)
Work Location (Experience 3)*

Hong KongMiddle EastSingaporeTaiwanOther
Employer Nationality (Experience 3)*

Hong KongMainland ChinaWesternerOther
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 PersonTake care of BedriddenTake care of Special Needs ChildTake care of PetCookingHousehold ChoresCar WashingDrivingGardeningGrocery 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?*

YesNo
Are you scared of Dogs?*

YesNo
Do you have tattoos?*

YesNo
Do you smoke?*

YesNo
Do you drink alcohol?*

YesNo
Are you willing to share a room with family members of the employer?*

YesNoNegotiable
Can you take care two smaller kids?*

YesNoNegotiable
Can you take care of newborn baby at night?*

YesNoNegotiable
Are you willing to share a room with kids?*

YesNoNegotiable
Are you willing to have flexible sleep arrangements?*

YesNoNegotiable
Will you consider flexible holiday arrangements, i.e. Weekdays?*

YesNoNegotiable
Are you willing to work with another helper?*

NoNegotiable
Are you willing to handle pork?*

YesNoNegotiable
Expected minimum salary (HKD)
For our reference only
Interview Arrangements
I can interview on*

Any day of the weekSundayMondayTuesdayWednesdayThursdayFridaySaturday
How do you prefer to be contacted?*

WhatsAppPhone Call
What is your preferred time to be contacted?*

MorningAfternoonEvening
Your Signature *

Clear
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.
Thank you for effort filling up the form!

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