Registration form

Recruiter

NAW data

First names

Initials

Last name

Sex

Date of birth

Place of birth

Country of birth

Nationality

Marital status

Maiden name

BSN

BSN Number

RNI formulier

Zorgverzekeraar thuisland

Bank details

IBAN

BIC/Swift

IBAN in the name of

Place

Address data

Address

House number

Addition

Postal Code

Residence

Country

Drivers license

Driver license A

Driver license B

Driver license C

Driver license D

Driver license E

Tractor

Forklift truck

Kopie rijbewijs

Other information

Mobile number

Telephone number homeland in case of emergency

E-mail address

Available from

I departure together with (name and surname of the person

Has agricultural experience

From which country you are declaring departure

height

Clothing size

Shoe size

Languages knowledge

Dutch oral

German oral

English oral

Polish oral

Slovak oral

ID type

ID number

ID valid until

Kopie ID/Paspoort

Allow storing this information for 365 days (until 05/02/2026)