Welcome to Ei International Multi-Services
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| Name
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| Email Address
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| Seeking for Host Family or Candidate
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Company/Profession/Occupation
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| Telephone/Mobile
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| Best time to call you (local time)?
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| Civil Status/ Age
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| For Candidate: Do/Can you/Are you/Will you?
| smoke diet have allergies swim bike work for single parent take care of pets light houseworks make the beds wash-up cook shop for food help in the garden wash & iron sew & mend clothes willing to help than common
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| Number of Children you want to take care & specify their ages?
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| For Candidate: Do you know how to?
| Look after baby(s) Look after children ages 2-5 Look after children ages 5-10 Take care of disabled children Change Diaper Prepare a baby's bottle Feed the baby with a bottle Feed the baby with a spoon/fork Get children up & dressed Put children in bed Keep children occupied
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| For Candidate: Please give a detailed description of your childcare experiences you have cared for, their ages & your task?
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| Do you have a driving license? Date Issue/Exipre
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| For Host/Candidate: Details of Family Members/Ages
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| For Host/AuPair: Hobbies/Interest
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| For Host Only: Type of House/Specify Where
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| Knowledge of Languages
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| AuPair Hours of Duty & Wages:
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| Required Payment to your AuPair is from €300-€340 per month for 30 hours per week. Referred as pocket money. In Belgium is from €400-€450
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| Additional Hours should be paid pro rate and are negotiable between the host & the AuPair
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| For Host: Required hours on which days you need the AuPair to work? Specify the days/time (start/end)
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| For Host: Do you need your Candidate to or can?
| swim bike work for single parent take care of pets light houseworks make the beds wash-up cook shop for food help in the garden wash & iron sew & mend clothes willing to help than common
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| For Host: Other Candidate Requirements
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| For Host: Would you help fund your Candidate Travel needs? If so, how much?
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| For Host: Will you cover your Candidate Holliday cost?
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| Where did you hear Our Candidate Services?
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| Additional Comments or Messages:
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| DECLARATION: Acceptance of Terms & Conditions
| by myself with the help of someone
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| I hereby declared that the above mentioned & online application documents I filled-up in full are all true & correct.
| Yes No
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| Date/Name/Signature
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| I Have Read & Agree to the Following Terms & Conditions & Settle my Registration Fee Payment
| Yes, I Agree
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| Total Amount:
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Image Verification
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