Your Contact Details
..........................................................................................................................................................................................................................................
  Fields marked with (*) are required fields
Name
:
 * 
Email
:
Contact No
:
 * 
Address
:
Marital Status
:
 Married      Single *
 
 
Employer's Details
..........................................................................................................................................................................................................................................
Will you be able to provide separate room for the maid?
:
Have you employed any maids before?
:
Salary Range for the maid
:
 
 
General Requirements
.......................................................................................................................................................................................................................................... 
Experienced Working in
:
Age Range
:
Marital Status
:
Education Level
:
Work Experience
:
 
 
Service Requirements
..........................................................................................................................................................................................................................................
Cooking Skills
:
 Chinese   Malay   Indian   Western   No Preference
Child Care Skills
:
 0 - 1 Year Old     1 - 3 Years Old  
3 - 6 Years Old   Above 6 Years Old
Elderly Care Skills
:
 Male          Female
 
Healthy      Wheel Chair Bound
 
Bed - Ridden      Others:
Language Skills
:
 Simple English    Chinese/Mandarin
 
Cantonese  Malay   No Preference
Specify your special needs here
:
 
 
  All Rights Reserved by Wiramai 2003