Application Form for courier / representative on payroll

This form is for courier and/or representatives on payroll. U kan dit formulier ook in het Nederlands invullen. All fields are required.

Name (*)

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Postcode and City (*)

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Email Address (*)

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GSM or Telephone number (*)

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Place and date of birth (*)

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Are you a belgian citizen? (*)

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Which studies did you do? (*)

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What's your work experience? (*)

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Do you work at this time? (*)

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If yes, what is your job?


If not, how long are you unemployed?


Why should we hire you for this job? (*)

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Do you have experience as a representative? (*)

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If yes, explain what you sold or offered?


Do you consider yourself an excellent sales representative? (*)


Explain why? (*)

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Do you have a car you can use for the job? (*)

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If yes, how much do you want per kilometer?


What is the minimum pay per month you require? (*)

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Please, retype the following code (anti-spam)
Please, retype the following code (anti-spam)
Change code
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Submit application