$450.00 – $826.20價格範圍:$450.00 到 $826.20
*English Name of Applicant (Employer) 申請人英文姓名(僱主)
*HKID Card/Passport No. (Employer) 申請人香港身份證/護照號碼(僱主)
Email Address 電郵地址
*Contact No. 聯絡電話
*Postal Address 通訊地址
Domestic Helper’s Work Location (if different with postal address) 家傭工作地點(如與通訊地址不同)
*English Name of Parttime Domestic Helper鐘點家傭英文姓名 (Surname 姓氏先)
*Gender
*Passport / HK I.D. Card No. 護照/香港身份證號
*Date of Birth (D/M/Y) 出生日期(日/月/年)
*Nationality* 國籍
Effective Date of Insurance / 保障日期 From (D/M/Y) 由(日/月/年)
Are you aware of any condition for which your domestic helper may require medical or surgical treatment? 你是否知道上述家傭可能因某種病症而需要接受治療或手術?