Clients Registration

Please register online by completing the form below. All fields marked * are mandatory.

Please read our terms and conditions as this form can not be submitted without this agreement.

There is no registration fee and no charge to interview candidates. A placement fee is only payable on a successful offer of employment to the candidate.

Personal Details*Title :
*Name :
*Address :
*Daytime Number :
*Evening Number :
*Mobile Number :
*Email Address :
*Your Occupation :
Spouses Occupation :

Childcare Help RequirementsType of Childcare Help Required :
Living Arrangements :
If Live In Please Select :
Is the Position :
Will you consider a nanny with her own
child to accompany her to your home :
Would you consider a male nanny :
Children's ages and Gender :
Baby Due :
Current Child Arrangements :
Special Requirements i.e diet :

Specific DetailsCharge :
Will you be working from home : No Yes
If yes please give details :
Driver with own car : No Yes
Is there a car provided on duty : No Yes
Is there a car provided off duty : No Yes
Accessible by public transport : No Yes
Have you had a nanny before : No Yes
Do you require your nanny to have
qualifications :
Do you have any pets, please list them
and if short or long haired :
Start Date :

Hours and Days of employment :

Monday start/finish :
Tuesday start/finish :
Wednesday start/finish :
Thursday start/finish :
Friday start/finish :
Saturday start/finish :
Sunday start/finish :

Expected Duties :

Nursery Duties : No Yes
School Runs : No Yes
Cooking : No Yes
Light Housework : No Yes
Pet Care : No Yes
Babysitting : No Yes
Holiday with Family : No Yes
Do you employ other domestic help :

NET Salary

the amount of money your nanny will be taking home - please select on one type of payment

Per Hour :
Per Week :
Other :

Other

For all tax and national insurance queries click onto http://www.nannvtax.xo.uk

Will you be claiming tax credits or
childcare vouchers :
Where did you hear about
The Nanny Agency? :
*I have read and agree with the
Terms and Conditions :

The Nanny Agency : 58 Parkhurst Fields : Churt : Farnham : Surrey : GU10 2PQ
01428 714410 : Email Address. info@the-nannyagency.co.uk

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