Registration form

Personal Info

* Mandatory Field

First Name

Last name

Gender

Emailaddress

Mobile phone

Date of birth

Nationality

Drivers license

Address

Address Netherlands

Do you have your own place to stay in the Netherlands?

Address abroad

Address

House number

Addition

Postal Code

Place

Country

Knowledge of language

Dutch speaking

English speaking

Other Language

Certificates

Please select the certificates that you have below

ER Emergency Responce Officer

Driver C

Reachtruck

Safety Certificate for Contractors (SCC)

Other certificates

Forklift Truck

HighReach

Welder

Welder MIG / MAG

Documents

* Mandatory Field

General Statement

Candidate hereby states that all information on this form has been voluntarily filled in and that Uitzendbureau Tot Uw Dienst needs this information for the offering of (possibly) temporary work.

Candidate grants permission for the processing of his/her personal information by Uitzendbureau Tot Uw Dienst, as far as this is necessary for the execution of the hiring proces, which also includes providing personal information to potential clients now and in the future.

Candidate has the right to cancel the job search by A1 Werkplan by sending an email or a letter to the office. In this case personal info will be deleted from the system.

Allow to store this info for 365 days (until 11/08/2027)