JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Register with our Agency
Please complete this form, please put in a lot of detail so we can see why you make a great caretaker
Note to foreigners: we cant help without Permit/Asylum and Passport, you need both so we can legally help you with employment.
* Indicates required question
Email
*
Your email
Full Name
*
as on your ID / Passport
Your answer
Last Name
*
as on your ID/ Passport
Your answer
ID Passport Number
*
as on your ID/ Passport
Your answer
How old are you now
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Whatsapp Number
*
Your answer
Physical Address
house nr, street name, area,
Your answer
City
*
( where you stay permanently)
Johannesburg
Pretoria
Centurion
Bloemfontein
Cape Town
Durban
Suburb
*
Area in the city where you stay eg: soweto, olivenhout, mamelodi, sandton, diepsloot, krugersdorp, midstream, etc
Your answer
Province
*
( where you stay permanently)
Gauteng
Western Cape
Free State
KZN
Limpopo
North West
Eastern Cape
Northern Cape
Mpumalanga
Languages
*
select the languages you speak
Afrikaans
English
Tswana
Sotho
Xhosa
Venda
French
Shona
Tsivenda
Ndebele
Zulu
Sepedi
German
Chichewa
Tsonga
Portuguese
Swati
Required
Ethnicity
*
Indian
White
Black
Coloured
Chinese
Gender
*
Male
Female
Other
Birth Country
*
Where were you born?
South Africa
Zimbabwe
Lesotho
Swaziland
Botswana
Namibie
Do you have a valid passport
*
if you are South African, please choose "I have south african ID"
Choose
I have South African ID
Yes, I do have one
No, I dont have one
I applied and waiting for it
Do you have a permit or asylum?
*
if you are South African, please choose "No, i am from South Africa"
No, I am from South Africa
Yes I have a VALID permit
Yes I have a VALID asylum
I have applied for the renewal
I have a waiver/receipt
No I don't have permit or asylum
Transport
*
how you travel to work and home
Public transport (Taxi / uber / bus )
Own private car
Drivers license?
*
do you have a South African drivers license?
yes
no
i have one from a different country
Police clearance?
*
do you have a police clearance report
yes
no
i have applied
Do you have children of your own?
*
yes
no
Where do your children stay and how old are your children?
*
Your answer
Medical conditions?
*
Your answer
Job Type?
*
what do you prefer?
live-in
live-out
i can do both
Next
Page 1 of 7
Clear form
Never submit passwords through Google Forms.
This form was created inside of My Nanny Pty Ltd.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report