Skip to content
LOGIN
SIGN UP
Home
About Us
Contact Us
Home
About
Contact Us
Fill in the onboarding form
First Name
Surname
Other Name(s)
Email
Phone Number
Sex
Male
Female
NRC#
Date of birth (Click on the year for easy scrolling)
Upload NRC
Emergency Contact Name
Emergency Contact Number
Customer Join Date
Marital Status
Single
Married
Total number of children
Number of children below 10 years
Total family size (persons living in your home)
Which options best describe your house
Number of bedrooms
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
> 4 Bedroom
Number of living rooms
1 living room
> 1 living room
Number of kitchens
1 Kitchen
> 1 Kitchen
Storeys:
1 Storey
2 Storey
> 2 Storeys
Location/Residential details
House/Plot #
Nearest landmark to your home
Area (Woodlands,Avondale)
District
Province
Country
Service Type
Twig
Dove
Glow (Scheme)
Sitter work type
Longterm Live in
Longterm Commuter
Short term live in
Short term Commuter
Piece Work
Date sitter required
Proposed duration of employment
Less than 1 year
1 year or more
From
To
Do you have another maid that will work with the sitter?
Yes
No
If Yes, indicate how many
Type of domestic work sitter will be MAINLY engaged in?
Childcare
Housekeeping
Childcare & Housekeeping
Other specify
Employment status
Employed
Self-employed
Unemployed
Main occupation
If employed, fill in employer details below
Name of company
Area business is located
District
Province
Company website
Do No Harm
I agree to conduct my employment with the sitter in a manner that avoids causing harm to the sitter and any third party. This includes but is not limited to abuse such as verbal, physical, emotional, financial or sexual abuse.
How will you undertake the submission of NAPSA and NHIMA returns for the Sitter employed in your household?
Sign up for CRS (Carecity submits on my behalf at a monthly service fee of k75)
Undertake own submission
commitment
I commit to participating in the phone-based feedback program conducted once every month, for 3 months?
Customer signature
By checking this box, I hereby acknowledge and accept that the information provided is true and accurate to the best of my knowledge and does not contain any false or misleading information
Submit
