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Application ALIVIO
Person
Velden met een * zijn verplicht.
1.0 APPLICANT PERSONAL DETAILS
Name
*
First Name(s)
*
ID Number
*
Date of Birth
*
Address
*
Phone Number
*
Email Address
*
1.1 Do you have a partner or co-residents aged 18 or older in your household?
None
1
2
3
1.3 What is your situation? (indicate which is applicable to you)
*
Job seeker
No longer have sufficient work hours due to Covid crisis
Independent entrepreneur
Director and major shareholder
1.4 Are you registered with “Plenchi di Trabou”?
*
Yes
No
Stap 1 van 8
Person
Location
Partner
Income
Expenses
Relief measures
Bank account details
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