London & Overseas Nannies.
Maternity Nurses, Maternity Nannies & Night Nannies.
UK Nannies Excluding London.

0845 128 42 79
0146 077 71 0
0122 590 45 56

Please read our Fee details before completing this form. Fee Details >>

Due to the size of this registration form, it is advised that you have ALL information available before filling it in. Please answer ALL questions as best as you can. If you wish, you may contact Eden Nannies & Maternity direct and request that we either fax or post you an application pack. We also have a PDF version of this registration form, which you can download here, print out and fill in, in your own time.

Please provide a valid email address as we may not be able to fully process your Registration form without one and may also result in delays or rejection. Please note that we have now placed the option for Nursery Nurse positions

* denotes a required item

Personal Details:

Fees:

Tick the box if you have read our 'Fee' details

Full Name: *

Full Postal Address: *

Home Phone:

Work Phone:

Fax No.:

Mobile No.:

E-mail: *

Marital Status:

Nationality:

No. of resident adults:

No. of children:

Boys ages: (Example 1, 3)

Girls ages: (Example 1, 3)

Baby due date:

Husbands Occupation:

Wife's Occupation:

Description of house:

Second house:

Other Staff:

Household Animals:

Requirements:

I require a:

Contract type:

Further Details: Box provided for extra details e.g.: Days & Hours etc.

Type of Charge:

If temporary, duration of post:

Job commencement date:

Driving details:

Smoking details:

Age preferred:

Minimum:

Maximum:

Flexible:

Experience:

Personality:

Outgoing:		Quiet:
Sporty:		Swimmer:

Duties:

Nursery Duties:		Family Shopping:
School Runs:

Please state any special dietary requirements (Vegetarian, Kosher) and any other duties not listed above::

Employment Details:

Accommodation Offered:

To select multiple items, please hold down the Ctrl key on your keyboard and click on the required items.

Pets welcome?:

Weekends Free?:

Evening Babysitting:

4 weeks holiday per annum:

Net Salary:

Use of car provided:

To select multiple items, please hold down the Ctrl key on your keyboard and click on the required items.

Interview expenses reimbursed:

Contract required:

Medical Insurance provided:

Return Airfare paid:

Credit Card Details:

If you wish you may send your Credit Card details by this form, fax or telephone just choose which one from the following:

This Form:		Fax:
Telephone:

Cardholder Name:

Billing Address:

Card No.:

Start Date:

Expiry Date:

Issue Number: (If Switch)

Card Type:

If Other, please specify:

I agree to payment being automatically debited to my account:

How did you hear about Eden Nannies & Maternity:

If recommendation, by whom:

If Other, please specify:

Yes I have read the relevant Terms & Conditions of Business:*

Disclaimer:

I confirm that the information on this online form is accurate and supplied in good faith to the best of my knowledge and belief and furthermore, I have read The Agency`s Terms and Conditions of Business and agree to be bound by them and to pay the Agency`s fees and charges in accordance with those Terms and Conditions of Business. I request The Agency immediately to endeavour to find a suitable employee(s) for me...

By submitting this application you are agreeing to the Terms and Conditions of Business set out in previous pages:*

Main office
7th Floor
3 Shortlands
Hammersmith, W6 8DA

Tel: 0845 128 42 79
From abroad +44208 8223370

Opening hours:
8.45am to 5.30pm Monday – Friday Excluding public holidays.

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Country Office
1 Queen Square
Bath, BA1 2HA

Tel: 01225 904556
Fax: 01225 462421

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Maternity Office
Suite 3
2 Church Street
Crewkerne
Somerset, TA18 7LH

Tel: 01460 77710
Fax: 01460 77720