Fees         Terms and conditions
* indicates that you must complete this section
Please complete the following form to register your interest in domestic services:
*Name:
*Address:
*Post Code:
*Email Address:
*Telephone Daytime:
Telephone Evening:
Mobile Telephone:
Fax:
Occupation:
Nationality:
Religion:
Do you work from home?	yes    no
What are your requirements? You can select more than one.
	full-time housekeeper: yes    no	part-time housekeeper: yes    no
	cleaner: yes    no	ironing service:  yes    no
	gardener: yes    no	pet sitter: yes    no
	dog walker: yes    no	chauffeur/driver: yes    no
	live-in couple: yes    no	handyman: yes    no
	cook/chef: yes    no	butler: yes    no
	other, please state:
To be completed for all types of help needed.
Duties required?
Commencement date?
Hours and days required?
Do you require live-in or daily help?	live-in help   daily help
If you require live-in help, what accommodation will you provide?
Salary offered?
Is a CRB Disclosure required?	yes    no
Smoker or non-smoker required?	smoker    non-smoker    either
Other information that you feel may help us with our selection process:
How did you hear of Upstairs Downstairs Domestic Recruitment?
Please click here to open a new window containing our terms and conditions. * To confirm that you have read and agree to the terms and conditions, type "I AGREE" here:

Your details will not be passed on to any other bodies.
Please press submit to email your completed form to us: