BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)
*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) PROFILE OF FDW
A1 Personal Information Ref: HOKI – 2426
1. Name: VIVI ARI SETYOWATI
2. Date of birth: 1 3 0 1 9 2 Age: 3 2
3. Place of birth: MALANG
4. Height & Weight: 1 5 7 cm 5 6 kg
5. Nationality: INDONESIA
6. Residential address in home country: DS.GAMPINGAN RT.09/01
KEC.PAGAK MALANG INDONESIA
7. Name of port / airport to be repatriated to: SURABAYA AIR
PORT
8. Contact number in home country: +6285731653191
9. Religion: ISLAM
10. Education level: SENIOR HIGH SCHOOL
11. Number of siblings: 3 (4 SIBLING )
12. Marital status: MARRIED
13. Number of children: 2
-Age(s) of children (if an : 5 & 3 YEAR OLD
A2 Medical History/Dietary Restrictions
14. Allergies (if any): NO
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:
16. Physical disabilities:
17. Dietary restrictions:
18. Food handling preferences: No pork No beef Others:
A-1
A3 Others
19. Preference for rest day: rest day(s) per month.
20. Any other remarks: SHE AFRAID OF DOG
(B) SKILLS OF FDW
B1 Method of Evaluation of Skills
Please indicate the method(s) used to evaluated 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
Yes/No Yes/No Please state qualitative observation of FDW and/or rate the
If yes, state FDW (indicate N.A. of no evaluation was done)
the no. of poor ......................Excellent...N.A
years 1 2 3 4 5 N.A
1. Care of infants/children SHE HAVE WORKING EXPERINCE IN BATAM TAKE CARE NEW BON
Please specify age range: √ √ BABY AND TAKE CARE CHILDREN
(4)
2. Care of elderly SHE WILLING TO LEARN (3)
Please specify age range: √
3. Care of disabled SHE WILLING TO LEARN (3)
√
4. General housework HAVE WORKING EXPERIENCE IN BATAM SHE ABLE TO DO GENERAL
√ √ HOUSE WORKING SUCH AS WASHING, IRONING, SWEEPING,
MOOPING.
(4)
5. Cooking HAVE WORKING EXPERIENCE IN BATAM SHE ABLE TO COOK CHINES AND
Please specify cuisines: √ √ INDONESIA FOOD (4)
6. Language abilities (spoken) INDONESIAN AND LITTLE ENGLISH,
Please specify:
7. Other skills, if any
Please specify:
A2
Interviewed by overseas training centre / EA (please state name of foreign training centre / EA: )
Stated 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
Yes/No Yes/No Please state qualitative observation of FDW and/or rate the
If yes, state FDW (indicate N.A. of no evaluation was done)
the no. of poor ......................Excellent...N.A
years 1 2 3 4 5 N.A
1. Care of infants/children SHE HAVE WORKING EXPERINCE IN BATAM TAKE CARE NEW BON
Please specify age range: √ √ BABY AND TAKE CARE CHILDREN (4)
2. Care of elderly SHE WILLING TO LEARN (3)
Please specify age range: √
3. Care of disabled SHE WILLING TO LEARN (3)
√
4. General housework HAVE WORKING EXPERIENCE IN BATAM SHE ABLE TO DO GENERAL
HOUSE WORKING SUCH AS WASHING, IRONING, SWEEPING,
√ √ MOOPING.
(4)
5. Cooking √ HAVE WORKING EXPERIENCE IN BATAM SHEABLE TO COOK CHINES
Please specify cuisines: √ ,INDONESIA FOOD (4)
6. Language abilities (spoken) INDONESIAN AND LITTLE ENGLISH
Please specify:
7. Other skills, if any
Please specify:
(C) EMPLOYMENT HISTORY OF THE FDW
C1 Employment History Overseas
Date Country Employer Work duties Remarks
From To (including FDW’s
home country)
TAKE CARE NEW BON BABY AND TAKE
2022 2024 BATAM CARE CHILDREN 4 YEARS ,HANDLE ALL 2 YRS
HOUSE WORKS, COOKING,
IRONING,MARKETTING
A3
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 SingPas)
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
(E) OTHER REMARKS
SHE KIND, GOOD MANNER, RESPONSIBLE, HARDWORKING, SHE SCARED OF DOG
VIVI ARI SETYOWATI
FDW Name and Signature EA Personel Name and Registration Number
Date: 13/01/2024 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:
***************
IMPORTAN NOTES 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 proven ability to perform the chores you require, for example, performing
household chores (especialy 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 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.
