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Home
Services
About Us
Areas Covered
FAQs
Cleaning Tips
Vacancies
Contact Us
Enquiry Form
Required Cleaning Service
One Off Cleaning
Weekly Cleaning
Frequency
One Off
Weekly
Property Type
House
Flat
Bungalow
Maisonette
Apartment
No of Bedrooms
Receptions
Ensuite
Dining Area
Yes
No
No of Bathrooms
Separate shower
Yes
No
Separate Toilet
Yes
No
Kitchen Size
Small
Medium
Large
Details:
Name
Phone Number
Email
Address:
Door No
House Name
Street/Road
Town
Postcode
Submit
Full Name
Email
Mobile
National Insurance No
Home Phone
Nationality
Right to work in UK
Yes
No
D.O.B.
Age
Next of Kin Contact Details
Name
Mobile
Children
Current Address
Postcode
Period at this Address
Property Status
Owned
Rented
Previous Address
Postcode
Period at this Address
Property Status
Owned
Rented
Health
Smoker
Yes
No
Allergies
Covid Vaccinations:
Type
Date
Own Transport
Yes
No
Employment:
Current Employment:
Company
Address
Phone No
Job Title
DBS
Yes
No
Disclosure No.
Disclosure Date
Preferences:
Cleaning
Ironing
House Keeping
Areas
Reference 1 (last/ Current Employer) :
Full Name
Company
Position
Mobile No
Email
Reference 2 (Personal) :
Full Name
Mobile Phone
Email
Availability
Day A.M:
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Day P.M:
Mon
Tue
Wed
Thu
Fri
Sat
Sun
DECLARATION:
The information I have given in making this application is true and correct. I will do my best work and not let people down. I agree that The Agency may take and retain my photograph and documents, together with the above details, as proof of my identification and as evidence of my legal right to work.
Please initial in box and date if you agree with declaration above.
Initials
Date
Submit
Your name
Your email
Subject
Your message (optional)
