Flexbrain

By completing the registration below, we can prepare your contract. If you have any questions, please contact us.

General information

First name *

Initials *

Infix

Last name *

Gender *

Date of birth *

Nationality

Address *

Postal code *

City *

Telephone number

Mobile phone number

E-mail address *

Place of birth

Marital status

IBAN *

Payroll tax reduction

ID Type

ID number

ID date of expiry

Other details

In the past 6 months, have you worked for this client in salaried employment (work via another employer for this client also counts)? *

In the past 6 months, how many contracts have you had with this client? *

Please indicate the contract period for each contract:

From: *

Until: *

From: *

Until: *

From: *

Until: *

From: *

Until: *

From: *

Until: *

Take a scan or photo of your passport or identity card. Remember to provide both the front and the back of the document. Your social security number is on the back and must be visible. No information may be blacked out on the copy provided.

Front proof of identification *

You can only upload files of type jpeg, jpg, png or pdf. The file can be a maximum of 5,00 Mb.

Back proof of identification *

You can only upload files of type jpeg, jpg, png or pdf. The file can be a maximum of 5,00 Mb.

Download the statement from the Tax and Customs Administration's website. Upload the completed statement below. Remember to also note the start date of your contract under Question 2.

Wage tax statement *

You can only upload files of type doc, docx or pdf. The file can be a maximum of 5,00 Mb.

CV *

You can only upload files of type doc, docx or pdf. The file can be a maximum of 5,00 Mb.

Remarks

By sending this form I declare to have filled it out truthfully and agree with the privacy statement of De Brainnet Groep. I also give Flexbrain permission to store my data in the database for one year after the application period has ended, so that I can be linked to one or more vacancies in the future and Flexbrain may contact me about it.

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