Personnel questionnaire

Tax information

Social security information

(Activity code 2010: 7th digit) – Please mark with a cross where applicable
(Activity key 2010: 6th digit) – Please mark with a cross where applicable

Details of other income

Accounting

VWL / direct insurance

Declaration of the employee

I certify that the above information is true and correct. I undertake to notify my employer immediately of any changes, in particular with regard to further employment (in terms of type, duration and remuneration).
Clear Signature
Clear Signature

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