Personal Details Form

We kindly request you to fill out this form completely and to add your most recent CV.
When requested, please tick the right box.

Personal details

Surname

Maiden name (if married)

First name(s)

Given name

Date of Birth

Place of Birth

Country of Birth

Nationality

Gender □ Female
□ Male
BSN (Dutch Social Securitynumber)

Address

Postal code and place of residence

Country of Residence

Phone number

Mobile phone number

Emailaddress

Bankaccount number (IBAN number)

Marital state

1
Other details
Do you want us to apply income tax deduction? □ Yes, starting from……
(“Loonheffingskorting”) □ No
Home – work commute □ By car, license plate:
(ANWB shortest route) □ By public transport
License plate car
Are you in the possesion of
 A first aid diploma? □ Valid until…….........
 A “leermeester” (tutor) diploma? □
 A Social Hygiene diploma □
Uniform size Pants size … Shirt size …
(only for spa, kitchen, front office & F&B) Dress/skirt size ... Jacket size …
Do you want to make use of lunch/dinner in the □ Yes
canteen during your shifts? The amount for a □ No
meal is € 3,35 gross per day.

Partnerdetails/- in case of emergency

First & surname

Relation

Phone number

Signature
The employee declares to have completed this document truthfully:
Name: Signature:

Date: