Training Enrolment Form

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We welcome you

Tel : 011 447 5517
Fax : 011 447 1744
Cell : 083 525 4992
db@domesticbliss.co.za

235 Jan Smuts Avenue,
Parktown North,
Johannesburg

DOMESTIC BLISS provides
SKILLS TRAINING and STAFF PLACEMENTS
to DOMESTIC WORKERS, the CLEANING, HOSPITALITY,
HEALTHCARE industries and the BUSINESS sector

Training Enrolment Form

Either fill in and submit the form below or click here to view and print our Training Enrolment form.

EMPLOYER DETAILS

Name:

Physical
Address:

Place of Employment (please Select):

Name:

Surname:

Please advise if Learner has any health problems, e.g. Diabetes, high blood pressure, any dietary
Requirements, e.g. Wheat allergy, Vegetarian, or any specific care needs

Work
Address:

Home Tel:

Work Tel:

Cell:

Fax:

Email:

Skills required and comments

LEARNER’S DETAILS

ID or Date Of Birth:

Highest Education:

Duration of Employment:

Total years work experience:

Contact Number:

Ability to Read or Write (please Select):

Basis of employment (please Select):

Duties include (please tick):

Where did you hear about us:

Please list any specific areas of concern to you, and we will attempt to handle then during training:

General cleaning

Other

Cooking

Child Care

Laundry/Ironing

Table laying

Frailcare

Gardening

Driving