Nanny Registration (1): Where did you hear about us: Which Position are you applying for: Governess Nanny Housekeeper Mother's Help Maternity Nurse UK Overseas Temporary Permanent     Personal Details: Full Name: Next of Kin: (Maiden/or any previous names): Address: Tel No:    Relation to You: Email:      Home Tel:  Mobile :  Nationality: Date of Birth: Age: Place of Birth: Material Status: Single Boy Friend / Girl Friend Married Divorced Widow Seperated Do you smoke ? Yes No   Is your health Excellent Good Or   Driving license: Full (Brititsh) Provisional International Other Do you have your own car? Yes No Do you have a Clean Driving License? Yes No If No Give Details: Can You Swim: Yes No     Do You Like Animals: Yes No Would you be happy to work in a household where there were pets? Yes No Do you have any allergies / disabilities / medical conditions: Yes No If Yes, give details: Ages of your children (If Any): Ages of brothers or sisters: Non EC members: Do you have a current work permit: Yes No if yes, Expiry date & No: Applicants wishing to work Overseas: Passport Number:           Expiry Date:   Nanny Registration (2) Have you ever been convicted by the courts, cautioned, reprimanded or given a final warning by the police? Yes If yes, please give details of offences, penalties & dates:   Any other information to be included: