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Employee Personal Information Form

Personal Details

Last name*: ______________________________________

Prefix (e.g. van, de): _____________________________

Initials*: ________________________________________

First names (as in passport): _______________________

First name*: ______________________________________

Partner name (if applicable): _______________________

Prefix partner name: _______________________________

Address Details

Street name*: _____________________________________

House number*: ____________________________________

Postal Code*: _____________________________________

Residence / City*: _________________________________

Contact Details

Telephone number (landline): _______________________

Telephone number (mobile): _________________________

Telephone number (for emergencies / calamities)*: ___

Private e-mail address: ____________________________

Additional Personal Information

Gender*: __________________________________________

Nationality*: _____________________________________

Date of birth*: ___________________________________

Place of birth*: __________________________________

Citizen service number (BSN)*: _____________________

Marital status*: __________________________________

Payroll tax applicable (yes/no)*: __________________

Bank account number (IBAN)*: _______________________

BIC / Swift Code: _________________________________

* Required fields

To be completed by employee