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We welcome you
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.
Copyright © Domestic Bliss 2009. All rights reserved
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