JEEVA AMMA

ENROLLMENT FORM
Name of the Patient		Age & Sex
Case Summary of patient
Name of the Attendant with ID Proof		Relationship to the patient
Address for Communication Domestic / International		Mobile No
Date of enrollment		Date of relieving
Salary details;	Part time/Full time
Advance Payment

Terms and conditions:

Visit your place and review the patients before taking care.
Don’t misuse the staff. If anything happened services will be cancelled immediately.
Don’t treat staff as a servant for cooking , washing and child caring
Don’t treat staff as slave.
Washing the patient’s cloth is not a staff responsibility.
Gold, Money and other precious items are to be safety by attendant
28 days per month will be the working days. (Two days leave applicable for domestic only)
Working hours will be 8 hours per day (extra one hour negotiable applicable for domestic only)
Additional charges will be applicable for alternative staff during the leave taken by the regular staff if attendant needs.
During the festival holidays the attendant will take the responsibility of patients.
Fixed salary (Not negotiable)
One month salary in Advance which is adjustable to the final settlement.
Payment should be made on 5th of every month.