Maid Request Form

Maid Details

Date *

Marketing Name

Type Of Application *
Walk InNews PaperCall InIntro by :

Preferred Maid *
IndonesiaCambodianPhilippinesOther, Pls Specified

Present Maid *
IndonesiaCambodianPhilippinesOther, Pls Specified

Employer Details

Interested party, please do not hesitate to provide us information as below:

Your Name *

Address *

H/P No (Husband) *

H/P No (Wife) *

Tel No (Home) *

Tel No (Office) *

Email / Website

Marital Status *
SingleMarriedDivorce

Type of Residence *
Bungalow2 Storey Link1 Storey LinkOther, Pls Specified

Duties Required *
Care of BabyCare of elderlyCare of childrenCookingGeneral Housework

Special Request *