Apply Now

To apply for caregiver services for your child, please follow the 3 simple steps below.

Step 1: Fill out the below application form. Please provide as much details as possible.
Please provide a contact email address so that we can contact you about the application.
Once we receive your application, we will send to you a contract and invoice for our services for your child.

Step 2: Please then sign the contract and make the payment according to the details shown on the invoice.

Step 3: Please email back to us the signed contract and a copy of the bank receipt of the payment transferred to our account for processing.

Contact Email Address:
(Email address that we can contact you at regarding this application)

Contact email address *

Student Details:

Family name *
Given names *
Date of birth *
Gender *
Nationality *

Parents’ Details:

Father's name *
Father’s mobile
Father’s work phone
Mother’s name *
Mother’s mobile
Mother’s work phone
Home address *
Home phone number *
Home email address
Emergency contact details

School and Course Details:

Course 1:  
School name *
Course name *
Course commencement date *
Course end date *
Course 2: (if applicable)  
School name
Course name
Course commencement date
Course end date
Course 3: (if applicable)  
School name
Course name
Course commencement date
Course end date
   
School enrollment officer
School officer phone
School officer email

Agent details:

Company name
Agent contact name
Agent email
Agent phone
Agent fax
Comments
 

Thank you for choosing to use our services. We look forward to caring for your child.