7 Donovan Avenue, LONDON N10 2JY
Tel: +44 (0)20 8374 0182
FIRST NAME _____________________________________
COUNTRY _________________________________________
ADDRESS _________________________________________
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TOWN ________________ POST CODE ___________________
TELEPHONE _________________________________________
EMAIL _____________________________________________
DATE OF BIRTH _____________ PASSPORT NO._______________
Address Of Parents/Closest Contact (If different from above):
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PRESENT OCCUPATION ______________________________
WHEN CAN YOU START _________________________________
HOW LONG DO YOU PLAN TO STAY _______________________
EDUCATION _________________________________________
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YOUR HEIGHT _______________ WEIGHT _____________
RELIGION ________________ DO YOU SMOKE? __________
DO YOU DRIVE? YES/NO HOW LONG? ___________
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FATHER'S PROFESSION _____________________________________
MOTHER'S PROFESSION _____________________________________
DO YOU HAVE ANY PREFERENCES REGARDING THE KIND OF FAMILY YOU WOULD WISH TO WORK FOR AND WHERE THEY LIVE?
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PLEASE INDICATE ANY HEALTH PROBLEMS, INCLUDING ANY ALLERGIES, THAT YOU MAY HAVE:
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DO YOU LIKE ANIMALS? ________________________________________
WHAT HOBBIES DO YOU HAVE? _________________________________
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KNOWLEDGE OF LANGUAGES?
ENGLISH: ____ GOOD ____ SUFFICIENT ____VERY LITTLE ____ NONE
ANY OTHER: ______________________________________________
ARE YOU WILLING TO - IRON: ____ CLEAN: _____ COOK: ____
HAVE YOU ENCLOSED 4 PHOTOGRAPHS AND 2 REFERENCES? YES/NO
HAVE YOU EVER HAD A CRIMINAL RECORD? YES/NO
SIGNATURE ____________________ DATE ____________________