Interviewed by overseas training centre / EA ( please state name of for eign training centre / EA)
Stated if the third party is certified ( e. g. ISO9001 ) or audited periodically by the EA :
Interviewed via telephone / telecofernce
Interviewed via video conference
Interviewed in person
Interviewed in person and also made observation of FDW in the area sofwork listed in table
A1 Experience
Assessment / Observation
Yes/No
Please state qualitative observation of FDW and / orate the
Willingness
S/No
Areas of Work
If yes state the
FDW ( indicate N. A. of no evaluation was done )
Yes/No
no. of
poor Excellent N. A
years
1
2
3
4
5
N. A
Care of infants / children Please
1
specify age range :
YES
3. 3
Care of elderly
2
Please specify age range:
YES
3. 5
3
Care of disabled
YES
3. 3
4
General house work
YES
3. 5
Cooking Please specify cuisines :
5
INDONESIAN CUISINES, CHINA-
YES
3. 3
FOOD Language abilities (spoken)
6
Please specify : INDONESIAN,
ENGLISH
Other skills , if any
7
Please specify : COOKING,
HOUSECLEANING, WASHING
RISMA KRISTIANA EA Personel Name and Registration Number Date : OCTOBER 05, 2026.