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    16 views1 page

    Aanvraag AWW Weduwe PDF

    Uploaded by

    Apple Device

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Sociale Verzekeringsbank

    Social Insurance Bank of Aruba


    Caya Punta Brabo 19, Eagle, Aruba

    +297 527 2760


    pensioenen@svbaruba.org
    www.svbaruba.org
    SVb Aruba

    Aanvraag Weduwenpensioen Krachtens de lv AWW


    Aanvrager
    Naam :...........................................................................................................
    Voornamen : ..........................................................................................................
    Geslacht : ☐M ☐V
    Geboortedatum : ..........................................................................................................
    Geboorteland : ..........................................................................................................
    ID Nummer : ..........................................................................................................
    BSN nummer (NL) : ..........................................................................................................
    Datum Huwelijk : ..........................................................................................................
    Land Huwelijk : ..........................................................................................................
    Nationaliteit : ..........................................................................................................
    Woonadres
    Adres : ..........................................................................................................
    Postcode en plaats : ..........................................................................................................
    Land : ..........................................................................................................
    Telefoon : ..........................................................................................................
    Cel : ..........................................................................................................
    e-mailadres : ..........................................................................................................
    Bank Gegevens
    Bank naam :...........................................................................................................
    Rek.Nr / IBAN :...........................................................................................................
    Rekeninghouder :...........................................................................................................
    Bic/Swift :...........................................................................................................

    Overleden Partner
    Naam :...........................................................................................................
    Voornamen :...........................................................................................................
    Geslacht : ☐M ☐V
    Geboortedatum :...........................................................................................................
    Geboorteland :...........................................................................................................
    ID Nummer :...........................................................................................................
    Nationaliteit :...........................................................................................................
    Datum Overlijden :...........................................................................................................
    Plaats Overlijden :...........................................................................................................

    Aanvrager verklaart dat bovenstaande vragen naar waarheid zijn beantwoord.

    Datum:
    Handtekening

    …………………………………………..

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