Domestic Maid Insurance Form 1 Details of applicant(Employer)2 Details of Domestic Maid Name*NIRC / Passport No.*SB Transmission No.*Date of Birth(DD/MM/YYYY)* Nationality*Occupation*Address* Street Address Postal Code*Contact (Email)* Mobile Phone* Name (as shown in Passport)*Passport No.*Work Permit*Date of Birth(DD/MM/YYYY)* Nationality*CAPTCHA