FDWApplication

Employer Name

Employer NRIC / FIN

Employer DOB

Employer Gender

Male

Female

Employer Residential Status

New Field:

Employer Marital Status

Full Address

Employer Contact

Employer Email

Home Contact No.

Employer's Spouse Name

Employer's Spouse NRIC/ FIN

Spouse's DOB

Spouse's Gender

Male

Female

Spouse's Residential Status

Spouse's Nationality

Spouse's Email

Employer and/or their spouse worked in Singapore for the last 2 years?

Yes

No

Employer Marriage Registered in Singapore

Yes

No

New Field:

Income Scheme Others:

Monthly Single / Combined Income

New Field:

Single

Combined

New Field:

Employer Occupation

New Field:

Number of levels in the house/ apartment

No. of Bedrooms in the house/ apartment

Number of Toilets in the house/ apartment

Purpose of Application

Total Members Residing in the household

1) Name Members Residing in the household

Gender

Male

Female

New Field:

Date Of Birth

Relation

New Field:

Gender

Male

Female

New Field:

Date Of Birth

New Field:

Gender

Male

Female

New Field:

Date Of Birth

New Field:

Gender

Male

Female

New Field:

Date Of Birth

5) Name Members Residing in the household

Gender

Male

Female

New Field:

Date Of Birth

The FDW shall be required to perform domestic duties as follows:

Type / No Of Pets

New Field:

Do I require my FDW to clean window exterior?

Yes

No

Location of window exterior

Grilles installed on windows required to be cleaned by FDW

Yes

No

Adult supervision when cleaning window exterior

Yes

No

FDW Off Day Arrangement

FDW Sleeping Arrangement

Insurance Company Preferred

Choice of Insurance Coverage (AVA Insurance) for 24 months

Waiver of Indemnity (AVA) $53.50 *Optional

Yes

No

Top Up (H&S) * Optional

Choice of Insurance Coverage (Hong Leong Insurance) for 24 months

Hong Leong Insurance Others:

Application for FDW Form

Application for FDW

(65) 9164 2252

service@earlybright.com.sg

Useful links

Contact info

(65) 9164 2252

service@earlybright.com.sg

865 Mountbatten Road

#02-75 Katong Shopping Centre

Singapore 437844