rFAMILY REGISTERATION FORM

! Please check and fill all fields

SURNAME WIFE/PARTNER

SURNAME HUSBAND/PARTNER

HOME ADDRESS

POSTCODE

HOME TEL/FAX

ADDRESS /BUSINESS/OFFICE

POSTCODE

OFFICE/TEL/FAX

OCCUPATION[ self ]

OCCUPATION [ spouse]

NATIONALITY

RELIGON



NAME[S] AGE[S] & SEX OF CHILDREN: DATE OF BIRTH

i

ii

iii

iv

v

vi



DATE BABY'S DUE





DO YOUR CHILDREN SUFFER FROM ANY HANDICAPS OR ILLNESS

Yes    No

ANY DIET REQUIRMENTS

ANY FAMILY PETS



HAVE YOU PREVIOUSLY EMPLOYED A NANNY/MOTHERS HELP/AU PAIR

Yes    No

REASONS WHY SHE OR HE LEFT EMPLOYMENT

DESCRIPTION OF NANNIES LIVING QUARTERS

OWN BEDROOM

Yes    No

OWN BATHROOM

Yes    No

USE OF CAR

Yes    No

Make OF CAR

MANUAL    AUTOMATIC



NANNIES DUTIES



ANY BABY SITTING

Yes    No

HOW MANY NIGHTS A WEEK

NEARSET TOWN

NEARSET PUBLIC TRANSPORT

ARE THERE NANNIES LIVING IN YOUR TOWN



TYPE OF APPLICANT REQUIRED:

Nanny    Au-pair    

parent help    Baby sitter



STARTING DATE



NANNIES SALARY

HOW DID YOU HEAR OF NANNIES ON TIME UK LTD



I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TO THE BEST OF MY KNOWLEDGE, CORRECT

I AGREE ON THE TERMS OF SERVICE, AND THE AGENCY FEES SET TO ME BY NANNIES ON TIME UK LTD.



SIGNED ...................................   Date:



SURNAME WIFE/PARTNER

SURNAME HUSBAND/PARTNER

HOME ADDRESS

POSTCODE

HOME TEL/FAX

ADDRESS /BUSINESS/OFFICE

POSTCODE

OFFICE/TEL/FAX

OCCUPATION[ self ]

OCCUPATION [ spouse]

NATIONALITY

RELIGON



NAME[S] AGE[S] & SEX OF CHILDREN: DATE OF BIRTH

i

ii

iii

iv

v

vi



DATE BABY'S DUE





DO YOUR CHILDREN SUFFER FROM ANY HANDICAPS OR ILLNESS

Yes    No

ANY DIET REQUIRMENTS

ANY FAMILY PETS



HAVE YOU PREVIOUSLY EMPLOYED A NANNY/MOTHERS HELP/AU PAIR

Yes    No

REASONS WHY SHE OR HE LEFT EMPLOYMENT

DESCRIPTION OF NANNIES LIVING QUARTERS

OWN BEDROOM

Yes    No

OWN BATHROOM

Yes    No

USE OF CAR

Yes    No

Make OF CAR

MANUAL    AUTOMATIC



NANNIES DUTIES



ANY BABY SITTING

Yes    No

HOW MANY NIGHTS A WEEK

NEARSET TOWN

NEARSET PUBLIC TRANSPORT

ARE THERE NANNIES LIVING IN YOUR TOWN



TYPE OF APPLICANT REQUIRED:

Nanny    Au-pair    

parent help    Baby sitter



STARTING DATE



NANNIES SALARY

HOW DID YOU HEAR OF NANNIES ON TIME UK LTD



I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TO THE BEST OF MY KNOWLEDGE, CORRECT

I AGREE ON THE TERMS OF SERVICE, AND THE AGENCY FEES SET TO ME BY NANNIES ON TIME UK LTD.



SIGNED ...................................   Date: