Appendix: Proof of income
This list indicates which documentary evidence of your income is required by the IND in order to assess this application. The application
form indicates for which person(s) proof of income must be enclosed. This usually means you (the foreign national) and your spouse/
(registered) partner. Unless indicated otherwise the documents may be copies
□
□
If you or your (registered) partner is in permanent employment; or
If the foreign national will be working in paid employment
(in the context of an EU action programme or an International
Treaty to which the Netherlands is a party)
– Your current employment contract(s)
– The fully completed and signed Appendix: ‘Employer’s declaration’
(no older than 3 months)
– Documentary evidence showing that your employer has registered your current employment contract with the competent authority
for the purpose of paying social premiums and taxes
(please note: verify this with your employer, not with the Tax and Customs Administration or UWV (Employee Insurance Schemes Implementing
Body))
– Wage slips for the past 3 months
Only if you consistently earn more than is shown in your employment contract (for instance because of overtime):
– Wage slips for the past 12 months
□
If you or your (registered) partner is in temporary paid employment
–
–
Your current employment contract(s) which show(s), among other things, that you will be employed for at least the next 6 months
The fully completed and signed Appendix: ‘Employer’s declaration’
(no older than 3 months)
– Documentary evidence showing that your employer has registered your current employment contract with the competent authority
for the purpose of paying social premiums and taxes
(please note: verify this with your employer, not with the Tax and Customs Administration or UWV (Employee Insurance Schemes Implementing
Body))
– For the past 3 years:
- all wage slips
- all annual salary statements; and
- all employment and temporary placement contract(s); and
- confirmation(s) of entitlement to benefit and statement(s) of benefits received.
□
–
–
–
–
□
If you or your (registered) partner is employed on a temporary basis or on the basis of an on-demand contract, on-call contract,
contract for seasonal work, zero-hours contract or another contract with a deferred duty of performance
Your current temporary placement or employment contract(s) showing that that you will be employed for at least the next 6 months
The fully completed and signed Appendix: ‘Employer’s declaration’
(no older than 3 months)
Documentary evidence showing that your employer has registered your current employment contract with the competent authority
for the purpose of paying social premiums and taxes
(please note: verify this with your employer, not with the Tax and Customs Administration or UWV (Employee Insurance Schemes Implementing
Body))
For the past 3 years:
- all wage slips
- all annual salary statements; and
- all employment and temporary placement contract(s); and
- confirmation(s) of entitlement to benefit and statement(s) of benefits received.
As an unpaid scientific researcher
If you are in receipt of sponsorship funds: evidence that shows the amount of funding and the duration of the sponsorship agreement; or
If you receive periodical payments to fund your stay in the
Netherlands: proof of this funding; or
– If you have paid employment abroad: a copy of your employment contract with your current employer abroad
–
–
□
If you or your (registered) partner is in receipt of
(supplementary) benefits
If you or your (registered) partner is in receipt of (supplementary) benefits (for instance WW (Unemployment Insurance Act), ZW (Sickness
Benefits Act), AOW (General Old Age Pensions Act), ANW (Surviving Dependants Act) or REA (Disability (Reintegration) Act)) benefits
– The letter from your benefits agency, confirming that you are
entitled to benefits
– Your most recent benefits statement
If you or your (registered) partner is in receipt of WAO (Occupational Disability Insurance Act), WAZ ( Work and Care Act) or Wajong
(Occupational Disability Benefits (Handicapped Young Persons) Act) benefits
– The letter from your benefits agency, confirming that you are occupationally disabled (and to what extent)
– Your most recent benefits statement (at least one year after the confirmation letter from your benefits agency)
– A letter from the benefits agency stipulating the date of your next medical examination
If you or your (registered) partner is in receipt of disability benefits pursuant to the WIA since 1 January 2006
– The letter from your benefits agency, confirming that you are occupationally disabled (and to what extent)
– Your most recent benefits statement
If you or your (registered) partner is permanently occupationally disabled and are not in receipt of WAO (Occupational Disability
Insurance Act), WAZ ( Work and Care Act) or Wajong (Invalidity Insurance ( Young Disabled Persons) Act) benefits
– A declaration issued by the GG&GD/GGD (Area Health Authority), company doctor or medical examiner showing that you are fully occupationally
disabled, the date on which you became fully occupationally disabled and the expected duration of your occupational disability
If you or your (registered) partner is in receipt of social assistance benefits, and if either you or your partner is/are permanently unable
to return to work
– All letters confirming your entitlement to benefits for the past
5 years and any correspondence with the Municipal Council about your exemption from the obligation to seek work for the past
5 years
□
If you or your (registered) partner is/are self-employed
A ‘Declaration of income from self-employment’ (appendix) fully completed and signed by you and a certified administrator (for instance a registered
accountant, an accountant, an administration consultant, a tax consultant accredited by the Dutch Federation of Tax Advisors or a tax consultant
accredited by the Dutch Council of Tax Advisors) or an administrator with a BECON number from the Tax and Customs Administration, together with
the required appendices
– A recent original extract of the company’s registration with the Chamber of Commerce (unless such registration is not possible, for instance in the case
of the independent professions)
–
□
–
–
–
If you or your (registered) partner is/are (a) director(s)/major shareholder(s)
The official documents showing the size of your share in the company (ownership percentage);
A copy of your employment contract (or contracts if you hold more than one position);
An original, fully completed ‘Employer’s declaration’ (appendix), dated and signed by the employer and containing the company stamp (no
older than 3 months);
– Information about the three months preceding the date of your application, showing that you have received a monthly salary (wage slips, bank
statements);
– Proof that the company has paid the payroll tax deducted from your salary to the Tax and Customs Administration on a three monthly basis
(bank statements)
Appendix: Guarantor’s Declaration (in case of financial support of a third party the Netherlands)
Only complete this declaration if you are applying for a residence permit:
– for your unmarried partner
– for your child
– as a foster child
– as a family member (other than child/parent)
– for a family visit
– for study purposes
– as an au pair
– as a dependent family member of someone working for an International Organisation, and who himself /
herself does not possess adequate means of self support
Send the completed and signed declaration with your application.
The undersigned shall act as a guarantor for the costs to the State and other public bodies as a result of the foreign
national’s stay in the Netherlands, for a period of five years. This guarantee will be classed as expired in the event
that sufficient assurance has been provided in another form, the foreign national has left the Netherlands, has been
issued a residence permit under other restrictions, or has become a Dutch citizen.
In addition, the undersigned declares that any costs, these not being welfare costs, incurred by the State and other
public bodies as a result of the foreign national’s stay in the Netherlands, including the costs associated with travel
by the foreign national to a location outside the Netherlands to which he or she is guaranteed access, can be
recovered from the guarantor to an annual maximum amount of €5000.
Furthermore, the undersigned declares that he or she is aware of the fact that, if the foreign national is in receipt of
benefits pursuant to the Work and Social Assistance Act [Wet Werk en Bijstand], the costs incurred in benefits
paid to the foreign national (in proportion to the amount of the benefits applicable at that time according to the
standard amount stipulated by the Work and Social Assistance Act in addition to the aforementioned annual
amount of €5000) shall be recovered from the guarantor.
Foreign national’s personal details
Surname as given in passport, identity card or any other document satisfactorily establishing nationality
First names
 Male  Female
Date of Birth
V-number
Guarantor’s personal details
Name
Street
Postcode
Date
Number
City
Signature
If you are married or are in a registered partnership, please have your (registered) partner sign the declaration to
indicate his or her agreement.
Partner’s name
Signature
Attach a copy of your guarantor’s and your partner’s valid identity papers to your application if they are
both Dutch citizens. If one of these holds another nationality then also attach a copy of his / her valid
passport, identity card or any other document satisfactorily establishing nationality, in which the residence
permit has been entered or a copy of the front and back of the residence permit. If the guarantor is someone
other than your sponsor, attach a copy of the guarantor’s valid identity documents to your application. This
is not necessary if the guarantor is completing and signing this guarantor declaration on behalf of an
organisation or institution.