Application Form for independant contractors / representatives

This form is for independant contractors and/or representatives. U kan dit formulier ook in het Nederlands invullen. All fields are required! Als u geen BTW-nummer heeft, kunt u niet aan de slag.

Name (*)

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Address (*)

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Postcode and City (*)

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BTW number (*)

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GSM or Telephone number (*)

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Email Address (*)

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Place and date of birth (*)

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Are you male or femal (*)

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Which province do you live in? (*)

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Are you a Belgium 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 apply for the position of courier or representative? (*)

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

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Do you have a car, van or truck you can use for the job? (*)

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If yes, year, make, type, kilometers


If no, do you want to lease one from us?


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