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US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Where the service will be required
Billing Info
Billing Name or Company
Company Reg no. (if Applicable)
Billing Address
Street Address
Address Line 2
City / Town
Province / Region
Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
Türkiye
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Service Requirements
Please give a short description of the duties & your requirements
Patient Details (Names, Ages, Gender etc)
Services Required
Au Pair
Babysitter
Cook
Day Nanny
Domestic-Cleaner
Domestic-Nanny
Driver
Elderly / Frail Care worker
Elderly Companion
Housekeeper
House-sitter
Nanny-Domestic
Night Nanny / Night Nurse
Pet-sitter
Registered / Professional Nurse
Tutor
Work Solution
Please Hold in CTRL & click to select more than one service
Service Requirement
Au Pair
Babysitter
Day Nanny
Night Nanny
Care Worker (Elderly/Frail)
Companion
Nanny-Domestic
Domestic
Domestic-Nanny
Housekeeper
Cook
House-Sitter
Pet-Sitter
Driver
Tutor
Contracting (Work Solution)
(please select the service/s you require)
Required Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Public Holiday
Please Hold in CTRL & click to select the days
Required Days per Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
P/Holidays
Start Time
End Time
Living Arrangement
Please Select
Live-out (Care worker travels to & from work each day)
Live-in (Care worker stays on the property)
Either Live-in or -out
(Your Care Worker Travel & Living preferences)
Shift Frequency
Please Select
Ad Hoc (Shifts as Needed)
Weekly Set Shifts
Monthly Set Shifts
24/7 Live-In (Frail Care)
Set Period (Once-off Date Range)
Event
(When & how often do you require the Service?)
Start Date, Duration & Budget
Preferred Start Date
Date Format: DD slash MM slash YYYY
Estimated Duration of the Services
(optional)
Your Budget
(your inclusive budget for the service, i.e. ; R4 000.00 - R5 000.00)
Select Your Preferred Payment Option
Please Select
Ad Hoc (Shift Rate as Determined by the Agency)
Hiring (Monthly Administration fee of 20%)
Private Placement (Once-off fee @ 10% of annual salary)
I am not sure
How would you go about & pay for the service?
Additional Preferences
Preferred Age Range
Please Select
No Preference
20 - 25 yrs
25 - 29 yrs
30 - 39 yrs
40 - 49 yrs
50 - 59 yrs
60 +
(ctrl + select options)
Preferred Gender
No Preference
Female
Male
Cultural Preference
Religious Preference
Preferred Language to be used on duty
Afrikaans
Dutch
English
French
German
Ndebele
Northern Sotho
Sesotho
Swazi
Tsonga
Tswana
Venda
Xhosa
Zulu
SA Sign Language
Please Hold in CTRL & click to select more than one Language
Other Language(s) that is not listed
Interviews
Do you want to do Interviews?
Please Select
Yes
No
Requested Interview Date
Date Format: DD slash MM slash YYYY
Interview Place or Address
(IF different from Service Address)
Interview Time
Final Comments
Any Additional Information or Comments?
Service Agreement & Terms
Your acceptance of the Service Agreement Terms & Conditions is a requirement to continue with the Application
*
By Submitting this Application, I understand & agree to Calo Consultants t/a African Angels 's
Terms & Conditions
African Angels makes its Services available to Customers on the Condition that they agree & accept the Service Agreement & Terms Ensure your are familiar with our Processes, Options, Fees & Requirements before continuing to submit your Application
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