Vergeet niet om de volgende bijlages toe te voegen

REQUIRED:
Deze informatie is vereist voor de uitbetaling van uw loon.
  • A copy of your identity card (front- and Back)
  • A copy of your Certificates (VVL, Welding certificates etc.)
  • If you don't have a Dutch passport you need to send us the letter from the IRS about the acknowledgement of your social security number

  • OPTIONAL:
    Onderstaande zaken zijn een toevoeging op uw inschrijving.
  • A copy of your VCA-VOL or Basic
  • A copy of your debit card

  • ZZP-er:
    If you register as self-employed, then we have some additional documents required.
  • A copy of your Chamber of Commerce extract
  • A copy of your VAR of the current year
  • Voor een zo volledig mogelijke inschrijving is het van belang dat u alle vragen voorzien van een * invult.

    Desired function(s):*

    Surname:*

    First name:*

    Sex:*
     man woman

    Address:*

    Zip code:*

    City:*

    Citizen Service Number(BSN):*

    Phone number:*

    Phone number (optional):

    Your E-mail:*

    Nationality:*

    Date of Birth:*

    Place of Birth:*

    Native country:*

    Marital status:*

    Identification; Passport or identity card?

    Identification number:

    Valid until

    Residence permit number:

    In possession of car:*
     Yes No

    License:
     A AM B C D E No driver's license

    Driver's license number:

    Bank account number (IBAN):

    VCA:  VCA-Basic VCA-VOL

    No.:

    Valid until:

    Security Pass Port:

    No.:

    Education & Certification:

    Names previous employers:

    Mastery of language:
    Nederlands*
    Engels*
    Duits*
    Frans*
    Other:

    Have you recently undergone a medical examination?  Yes No

    Medical workrestrictions ? Yes No

    If so, the restrictions are?

    Medication use

    Hoe kent u van Roosendaal technisch uitzendbureau*

     Through the newspaper Through a friend or colleague Through the internet Through a commercial on TV Other

    By submitting this form I declare that I have filled in everything truthfully and that I have informed van Roosendaal technisch uitzendbureau B.V. to the fullest extent.. This also includes my previous employers. Furthermore I declare that I have the capacity to fulfil all activities required in the function, without any barriers of whatever nature, without any problems..

    Curriculum vitae

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