Registration Form

Personal Data

First Name

Surname

Initials

Gender

Date of Birth

Birthplace

Nationality

(Mobile) Phone

Marital Status

Social Security Number

Identification Proof Type

Identication Number

Identification Valid Until

Address the Netherlands

Street

House number

Addition

Postal Code

Place of residency

Country

Address Abroad

Address

House number

Addition

Postal Code

Place of residency

Country

Command Languages

Dutch

English

German

Driving License

Driving License A

Driving License AM

Driving License B

Validity of Driving License B

Driving License C

Driving License D

Driving License E

Remainder

Reach Truck Certificate

Forklift Certification

VCA (Safety/health and environment)

Welder

Relevant work experience

Private Transport

Own Transport Type

Health Insurance

Social Security Number

Burgerservicenummer

ID/Passport

ID/Paspoort

Other documents (CV/Debit Card/Health Insurance Card/Others)

Overige documenten (CV/Bankpas/Zorgpas/Overige)

The job seeker hereby declares:

That all the requested data have been filled in by the job seeker personally and that this was done voluntarily;

To agree that Uitzendbureau Atik BV in Roosendaal needs this information to offer any temporary work;

To give permission for the processing of his/her personal data by Uitzendbureau Atik BV, for as long as this is necessary to carry out the recruitment process, including the disclosure of this data to potential employers, now and in the future;

To give permission for the disclosure of his/her data in order to be eligible for an offer for temporary employment;

To give permission to Uitzendbureau Atik BV to keep the data for a maximum period of 1 year;

To agree to the right to discontinue the recruitment process en have his/her personal data deleted. This can be done by e-mail to uren@atik.nl;

To give his/her permission to Uitzendbureau Atik BV to send newsletters and information about future vacancies by e-mail.