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Domestic Staff Request

WELCOME!

We are grateful for your trust in us to handle your staffing.

Please carefully go through our Terms and Conditions before proceeding to fill this form.

Kindly provide all information as required to help us give you utmost service.

Thank you.

Prefix

First Name *

Middle Name

Last Name *

Phone *

Email Address *

Street Address *

City *

State/Province *

Country *

Field Group

Profession *

Name of Business or Workplace *

Office Address *

Religion

Religious Denomination

Marital Status

Name of Spouse

Phone number of spouse

Number of Children

Age of Oldest Child

Age of Youngest Child

Is a New Baby Expected *

Any Child with Disability?

Please state any medical problems/allergies we may need to know about your kids(s)

Do you have any pet(s)? * *

If Yes, what pet, please?

Category of Staff Required *NanniesHousekeepersBaby SittersGatekeepersButlersHouse ManagersMaternity NursesCooksAfter-School tutorsGovernessesMommas’ AssistantLaundressesSteward

Number of Employees Required *

Preferred Gender *

Minimum Requirements (Education) *

Minimum Requirements (Years of Experience) *

Please provide details of candidates Job Description in the space provided

Please provide details of candidates Job Description

Please Upload File containing details of candidates Job Description

No file chosen

Job Status *

Have you Employed Someone in this Capacity Before? *

If Yes, please State the Duration of employment and Reasons for their leaving:

Where will the staff be deployed to?

Live-in Arrangements (For Live-In Staff only) *

Is your family operating a special diet? *

If Yes, briefly explain

Will the staff’s diet be different from those of your family?

How do you plan to feed the staff?

Who cooks the staff’s meals?

How should Staff expect Meals?

Would you have problems with 3 meals daily (for Live-In)

Would you have problems with 1 meals daily (for Live-out)

Please state time for Breakfast, Lunch and Dinner

Field Group

Please select your preferred package plan *

Mode of payment *

Time to Expect Payment from you (Payroll Management) * *

Kindly List out at least 5 account names you will/may use to make payment

Would you want Professional Background Security Check on your staff? *

Would you want Police Clearance for your staff? *

Kindly Upload your Valid Identity Card *

No file chosen

Kindly Upload your Valid Proof of Address *

No file chosen

I certify that the information I have given on this request form is true and valid

Consent *

Yes, I agree with the privacy policy and terms and conditions of Otiz Keepers Limited

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36 Edem Urua Street, Uyo, Akwa Ibom State, NG

info@otizkeepers.com

+234 703 568 4502

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