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Personal information
Initials
First name
Last name
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Date of birth
Nationality
-
Afghan
Albanian
Algerian
American citizen
American national
Andorran
Angolan
Argentine
Armenian
Australian
Austrian
Azerbaijani
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British subject
Bruneian
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Cambodian
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Canadian
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Central African
Chadian
Chilean
Chinese
Citizen of Antigua and Barbuda
Citizen of Bosnia and Herzegovina
Citizen of British Dependent Territories
Citizen of Congo
Citizen of Dominica
Citizen of East Timor
Citizen of Saint Kitts and Nevis
Citizen of Saint Vincent and the Grenadines
Citizen of São Tomé and Príncipe
Citizen of Serbia and Montenegro
Citizen of the Democratic Republic of the Congo
Citizen of the Soviet Union
Citizen of the United Arab Emirates
Citizen of Trinidad and Tobago
Colombian
Comorian
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Croatian
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Czech
Czechoslovak
Danish
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Unknown
Uruguayan
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Vatican
Venezuelan
Vietnamese
Western Samoan
Yemeni
Yugoslav
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Zambian
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Gender
-
Female
Male
Birthplace
Country of birth
-
Abu Dhabi
Abyssinia
Aden
Afghanistan
Ajman
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension
Australia
Australian New Guinea
Austria
Austria-Hungary
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Basutoland
Bechuanaland
Belarus
Belgian Congo
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
British Africa
British Antarctic Territory
British Borneo
British Cameroon
British East Africa
British Guiana
British Honduras
British India
British Indian Ocean Territory
British North Borneo
British Solomon Islands
British Solomon Islands
British Somaliland
British Virgin Islands
British West Borneo
British West Indies
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabinda
Cambodia
Cameroon
Canada
Canary Islands
Canton and Enderbury Islands
Cape Verde
Cape Verde Islands
Cayman Islands
Central African Republic
Ceylon
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo-Brazzaville
Congo-Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Czechoslovakia
Dahomey
Danzig
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Dutch East Indies
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federal Republic of Germany
Federal Republic of Yugoslavia
Fiji
Finland
France
French Cameroon
French Congo
French Equatorial Africa
French Guiana
French India
French Indochina
French Polynesia
French Somaliland
French Territory of the Afars and the Issas
French West Africa
Fujairah
Gabon
Gambia
Georgia
German Democratic Republic
German East Africa
German South West Africa
Germany
Ghana
Gibraltar
Gilbert and Ellice Islands
Gilbert Islands
Goa
Gold Coast
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaiian Islands
Honduras
Hong Kong
Hungary
Iceland
Ifni
India
Indochina
Indonesia
International Territory
Iran
Iraq
Ireland
Isle of Man
Israel
Italian Somaliland
Italy
Ivory Coast
Jamaica
Japan
Johnston
Johore
Jordan
Kaiser Wilhelm Land
Kashmir
Kazakhstan
Kedah
Kelantan
Kenya
Kiribati
Korea
Kosovo
Kuwait
Kyrgyzstan
Labuan
Laos
Latvia
Lebanon
Leeward Islands
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Madeira Islands
Malacca
Malawi
Malaysia
Maldives
Mali
Malta
Mariana Islands
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Midway
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Muscat and Oman
Myanmar
Namibia
Nauru
Negeri Sembilan
Nepal
Netherlands
Netherlands Antilles
Netherlands Antilles
Netherlands New Guinea
New Caledonia
New Hebrides
New Zealand
Newfoundland
Nicaragua
Niger
Nigeria
Niue
Norfolk
North Korea
North Macedonia
North Vietnam
North Yemen
Northern Rhodesia
Norway
Nyasaland
Oman
Pacific Islands
Pahang
Pakistan
Palau
Palau
Palestine
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Perak
Perlis
Peru
Philippines
Phoenix Islands
Pitcairn Islands
Poland
Portugal
Portuguese Africa
Portuguese East Africa
Portuguese Guinea
Portuguese India
Portuguese Timor
Portuguese West Africa
Puerto Rico
Qatar
Ras al-Khaimah
Réunion
Rhodesia
Romania
Ruanda-Urundi
Russia
Russia (old)
Rwanda
Ryukyu Islands
Saarland
Saba
Sabah
Saint Helena
Saint Kitts and Nevis
Saint Kitts, Nevis and Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Sarawak
Saudi Arabia
Selangor
Senegal
Serbia
Serbia and Montenegro
Seychelles
Seychelles and Amirante Islands
Sharjah
Siam
Sierra Leone
Sikkim
Singapore
Sint Eustatius
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Arabian Federation
South Korea
South Sudan
South Vietnam
South Yemen
Southern Rhodesia
Southwest Africa
Soviet Union
Spain
Spanish Guinea
Spanish North Africa
Spanish Sahara
Spitsbergen
Sri Lanka
Straits Settlements
Sudan
Suriname
Svalbard Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanganyika
Tanzania
Tasmania
Thailand
Tibet
Togo
Tokelau
Tonga
Transjordan
Trengganu
Trinidad and Tobago
Tristan Da Cunha
Trucial Oman
Tunisia
Turkey
Turkish Islands
Turkmenistan
Turks and Caicos Islands
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
Umm Al-Quwain
United Arab Emirates
United Arab Republic
United Kingdom
United States of America
United States Virgin Islands
Unknown
Upper Volta
Uruguay
Urundi
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wake Island
Wallis and Futuna
Western Sahara
Western Samoa
Windward Islands
Yemen
Yugoslavia
Zaire
Zambia
Zanzibar
Zimbabwe
Marital status
-
Divorced
Living together
Married
Single
Unknown
Unmarried
Widowed
BSN (Dutch Social Security Number)
NIF
Bank account number (IBAN)
BIC
Address Netherlands
Ja, ik heb eigen huisvesting in nederland
Address
Postal Code
Country
-
Abu Dhabi
Abyssinia
Aden
Afghanistan
Ajman
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension
Australia
Australian New Guinea
Austria
Austria-Hungary
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Basutoland
Bechuanaland
Belarus
Belgian Congo
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
British Africa
British Antarctic Territory
British Borneo
British Cameroon
British East Africa
British Guiana
British Honduras
British India
British Indian Ocean Territory
British North Borneo
British Solomon Islands
British Solomon Islands
British Somaliland
British Virgin Islands
British West Borneo
British West Indies
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabinda
Cambodia
Cameroon
Canada
Canary Islands
Canton and Enderbury Islands
Cape Verde
Cape Verde Islands
Cayman Islands
Central African Republic
Ceylon
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo-Brazzaville
Congo-Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Czechoslovakia
Dahomey
Danzig
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Dutch East Indies
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federal Republic of Germany
Federal Republic of Yugoslavia
Fiji
Finland
France
French Cameroon
French Congo
French Equatorial Africa
French Guiana
French India
French Indochina
French Polynesia
French Somaliland
French Territory of the Afars and the Issas
French West Africa
Fujairah
Gabon
Gambia
Georgia
German Democratic Republic
German East Africa
German South West Africa
Germany
Ghana
Gibraltar
Gilbert and Ellice Islands
Gilbert Islands
Goa
Gold Coast
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaiian Islands
Honduras
Hong Kong
Hungary
Iceland
Ifni
India
Indochina
Indonesia
International Territory
Iran
Iraq
Ireland
Isle of Man
Israel
Italian Somaliland
Italy
Ivory Coast
Jamaica
Japan
Johnston
Johore
Jordan
Kaiser Wilhelm Land
Kashmir
Kazakhstan
Kedah
Kelantan
Kenya
Kiribati
Korea
Kosovo
Kuwait
Kyrgyzstan
Labuan
Laos
Latvia
Lebanon
Leeward Islands
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Madeira Islands
Malacca
Malawi
Malaysia
Maldives
Mali
Malta
Mariana Islands
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Midway
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Muscat and Oman
Myanmar
Namibia
Nauru
Negeri Sembilan
Nepal
Netherlands
Netherlands Antilles
Netherlands Antilles
Netherlands New Guinea
New Caledonia
New Hebrides
New Zealand
Newfoundland
Nicaragua
Niger
Nigeria
Niue
Norfolk
North Korea
North Macedonia
North Vietnam
North Yemen
Northern Rhodesia
Norway
Nyasaland
Oman
Pacific Islands
Pahang
Pakistan
Palau
Palau
Palestine
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Perak
Perlis
Peru
Philippines
Phoenix Islands
Pitcairn Islands
Poland
Portugal
Portuguese Africa
Portuguese East Africa
Portuguese Guinea
Portuguese India
Portuguese Timor
Portuguese West Africa
Puerto Rico
Qatar
Ras al-Khaimah
Réunion
Rhodesia
Romania
Ruanda-Urundi
Russia
Russia (old)
Rwanda
Ryukyu Islands
Saarland
Saba
Sabah
Saint Helena
Saint Kitts and Nevis
Saint Kitts, Nevis and Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Sarawak
Saudi Arabia
Selangor
Senegal
Serbia
Serbia and Montenegro
Seychelles
Seychelles and Amirante Islands
Sharjah
Siam
Sierra Leone
Sikkim
Singapore
Sint Eustatius
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Arabian Federation
South Korea
South Sudan
South Vietnam
South Yemen
Southern Rhodesia
Southwest Africa
Soviet Union
Spain
Spanish Guinea
Spanish North Africa
Spanish Sahara
Spitsbergen
Sri Lanka
Straits Settlements
Sudan
Suriname
Svalbard Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanganyika
Tanzania
Tasmania
Thailand
Tibet
Togo
Tokelau
Tonga
Transjordan
Trengganu
Trinidad and Tobago
Tristan Da Cunha
Trucial Oman
Tunisia
Turkey
Turkish Islands
Turkmenistan
Turks and Caicos Islands
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
Umm Al-Quwain
United Arab Emirates
United Arab Republic
United Kingdom
United States of America
United States Virgin Islands
Unknown
Upper Volta
Uruguay
Urundi
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wake Island
Wallis and Futuna
Western Sahara
Western Samoa
Windward Islands
Yemen
Yugoslavia
Zaire
Zambia
Zanzibar
Zimbabwe
House number
Affix
Place of residence
Adres Buitenland
Address
Postal Code
Country
-
Abu Dhabi
Abyssinia
Aden
Afghanistan
Ajman
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension
Australia
Australian New Guinea
Austria
Austria-Hungary
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Basutoland
Bechuanaland
Belarus
Belgian Congo
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
British Africa
British Antarctic Territory
British Borneo
British Cameroon
British East Africa
British Guiana
British Honduras
British India
British Indian Ocean Territory
British North Borneo
British Solomon Islands
British Solomon Islands
British Somaliland
British Virgin Islands
British West Borneo
British West Indies
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cabinda
Cambodia
Cameroon
Canada
Canary Islands
Canton and Enderbury Islands
Cape Verde
Cape Verde Islands
Cayman Islands
Central African Republic
Ceylon
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo-Brazzaville
Congo-Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Czechoslovakia
Dahomey
Danzig
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Dutch East Indies
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federal Republic of Germany
Federal Republic of Yugoslavia
Fiji
Finland
France
French Cameroon
French Congo
French Equatorial Africa
French Guiana
French India
French Indochina
French Polynesia
French Somaliland
French Territory of the Afars and the Issas
French West Africa
Fujairah
Gabon
Gambia
Georgia
German Democratic Republic
German East Africa
German South West Africa
Germany
Ghana
Gibraltar
Gilbert and Ellice Islands
Gilbert Islands
Goa
Gold Coast
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaiian Islands
Honduras
Hong Kong
Hungary
Iceland
Ifni
India
Indochina
Indonesia
International Territory
Iran
Iraq
Ireland
Isle of Man
Israel
Italian Somaliland
Italy
Ivory Coast
Jamaica
Japan
Johnston
Johore
Jordan
Kaiser Wilhelm Land
Kashmir
Kazakhstan
Kedah
Kelantan
Kenya
Kiribati
Korea
Kosovo
Kuwait
Kyrgyzstan
Labuan
Laos
Latvia
Lebanon
Leeward Islands
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Madeira Islands
Malacca
Malawi
Malaysia
Maldives
Mali
Malta
Mariana Islands
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Midway
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Muscat and Oman
Myanmar
Namibia
Nauru
Negeri Sembilan
Nepal
Netherlands
Netherlands Antilles
Netherlands Antilles
Netherlands New Guinea
New Caledonia
New Hebrides
New Zealand
Newfoundland
Nicaragua
Niger
Nigeria
Niue
Norfolk
North Korea
North Macedonia
North Vietnam
North Yemen
Northern Rhodesia
Norway
Nyasaland
Oman
Pacific Islands
Pahang
Pakistan
Palau
Palau
Palestine
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Perak
Perlis
Peru
Philippines
Phoenix Islands
Pitcairn Islands
Poland
Portugal
Portuguese Africa
Portuguese East Africa
Portuguese Guinea
Portuguese India
Portuguese Timor
Portuguese West Africa
Puerto Rico
Qatar
Ras al-Khaimah
Réunion
Rhodesia
Romania
Ruanda-Urundi
Russia
Russia (old)
Rwanda
Ryukyu Islands
Saarland
Saba
Sabah
Saint Helena
Saint Kitts and Nevis
Saint Kitts, Nevis and Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Sarawak
Saudi Arabia
Selangor
Senegal
Serbia
Serbia and Montenegro
Seychelles
Seychelles and Amirante Islands
Sharjah
Siam
Sierra Leone
Sikkim
Singapore
Sint Eustatius
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Arabian Federation
South Korea
South Sudan
South Vietnam
South Yemen
Southern Rhodesia
Southwest Africa
Soviet Union
Spain
Spanish Guinea
Spanish North Africa
Spanish Sahara
Spitsbergen
Sri Lanka
Straits Settlements
Sudan
Suriname
Svalbard Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanganyika
Tanzania
Tasmania
Thailand
Tibet
Togo
Tokelau
Tonga
Transjordan
Trengganu
Trinidad and Tobago
Tristan Da Cunha
Trucial Oman
Tunisia
Turkey
Turkish Islands
Turkmenistan
Turks and Caicos Islands
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
Umm Al-Quwain
United Arab Emirates
United Arab Republic
United Kingdom
United States of America
United States Virgin Islands
Unknown
Upper Volta
Uruguay
Urundi
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wake Island
Wallis and Futuna
Western Sahara
Western Samoa
Windward Islands
Yemen
Yugoslavia
Zaire
Zambia
Zanzibar
Zimbabwe
House number
Affix
Place of residence
Driver's license
Drivers license
Driver's License Valid Until
Own vehicle
Work experiences
Yes, I have work experience
Company Name
Phone number
Place name
From
Activities
Till
Reason for leaving
Add
Certificates
Yes, I have certificates
Ik heb een VCA certificaat
VCA Full
-
Yes
No
Basic VCA
-
Yes
No
VCA
I have other certificates
Certificaten
+ extra certificate
Documents
CV
Questions
Are there any medical restrictions on certain tasks?
Yes
Welke:
No
Other
Shoe size
-
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Clothing size
-
XS
S
M
L
XL
XXL
If you have additional comments, you can write them here:
Opmerkingen
General statement:
• I declare that I have voluntarily provided all information in the questionnaire and that Delta Team Trabalho Temporário Unipessoal Lda needs this information for the possible offer of (temporary) work.
• I give permission for the processing of my personal data by Delta Team Trabalho Temporário Unipessoal Lda established in Porto, insofar as this is necessary for the implementation of the recruitment process, including the provision of this data to potential employers, now and in the future.
• I have the right to instruct by e-mail or in writing to stop the recruitment process and to destroy my personal data.
Allow storing this information for 365 days (until 07/08/2027)