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Intake
vzmuitzendgroep
2019-11-14T15:01:44+01:00
Step
1
of
5
20%
Sex
*
Man
Woman
Marital status
*
Not Married
Married
First name
*
Prefix
Last name
*
Phone number
*
E-mail address
*
The e-mail address will be used for all communication between VZM Uitzendgroep B.V. and the temporary worker. The temporary worker will ensure that he always has access to this email address and that others cannot use this email address.
Do you have a dutch domicile address?
Yes
No
If you do not have the Dutch nationality but do you have a Dutch home address, we ask for a BRP statement (Extract of the Basic Registration of Persons). This is a statement that you are registered in the municipality's basic registration and proof of a Dutch home address. This information is required for the payroll tax credit.
Address (in the Netherlands)
Address
*
Number
*
Addition
Postal code
*
Place
*
Are you also registered at a foreign address?
*
Yes
No
Address (Foreign)
Address
*
Number
*
Addition
Postal code
*
Place
*
Country
*
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Timor-Leste (East Timor)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Nationality
*
Afghan
Belgian
Briton
Bulgarian
German
Egyptian
Eritrean
French
Ghanaian
Greek
Hungarian
Iraqi
Italian
Latvian
Lithuanian
Moroccan
Dutch
Polish
Portuguese
Romanian
Slovak
Sudanese
Somalian
Spanish
Czech
Turk
Other
Other nationality
Identification document type
*
Passport
Identity card
Residence permit
Indentification document number
*
ID valid until
*
DD dash MM dash YYYY
Date of birth
*
DD dash MM dash YYYY
Country of origin
*
Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Timor-Leste (East Timor)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Birth place
*
Driving license
A
B
BE
C
CE
D
DE
Driving license valid until
*
DD dash MM dash YYYY
Would you like transportation arranged by VZM?
*
Yes
No
Social Security Number (Dutch BSN)
IBAN Bank account number
*
BIC/SWIFT
*
Would you like living space arranged by VZM?
*
Yes
No
Would you like to use the ET-regulation?
*
Yes
No
The ET-regulation is a tax regulation that makes it possible to give employees who live abroad and work in the Netherlands temporarily a tax-free allowance for additional costs that are incurred, such as for double accommodation because they work temporarily outside the country of origin.
Would you like withholding tax discount within VZM?
*
Yes
No
If you work, you are entitled to a discount on your tax. You request this discount from your employer. If you have more than1 employers, you can request this discount from 1 employer, where you make the most money.
Do you have a personal healthcare insurance?
*
Yes
No
Name personal healthcare insurance
Healthcare insurance Holland Zorg
*
Yes
No
VZM Uitzendgroep BV offers a collective health insurance policy for all foreign temporary workers. This premium is determined annually by Hollandzorg and amounts to € 25.85 per week for 2021.
Do you have pension entitlements accrued according to NBBU / ABU CLA (STIPP)?
*
No
Basic pension
Plus pension
Which languages do you speak?
Dutch
English
Turkish
Hungarian
Polish
German
Other
Other language
Are you looking for a holiday job?
*
Yes
No
On which days are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Did you receive an unemployment benefit in the previous year?
*
Yes
No
What work experience do you have?
Greenhouse horticulture
Farming
Cleaning
Logistics
Technical
Other
Experience in greenhouses horticulture
Strawberries
Cucumbers
Peppers
Tomatoes
Anthuriums
Chrysants
Gerberas
Hortensias
Orchids
Spout Licence
Touwhangen / vastzetten
Growing Responsible
Experience in farming
Milking
Harvest Employee
Grubbing
Cutting
Experience in cleaning
Shed Lady
Industrial Cleaning
Office Cleaning
Constuction Site Cleaner
Experience in logistics
Driver Small License
Driver Big License
Driver With Code 95
Forklift With License
Warehouse Employee
Orderpicker
Production Employee
Crane river
Rigger
Traffic Controller
Experience in technical professions
CAD-Draughtsman
Electrical Engineering
Scaffolding
Technical Draughtsman
Other diploma's / cursussen / certificates
For example VCA Basic or VCA full
Relevant work experience
Period - Function - Employer - Via employment agency
If personal protective equipment is mandatory at work then this must be purchased and used by the temporary employee.
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