EMPLOYER’S DECLARATION FOR PURPOSES OF
INDEPENDENT VERIFICATION OF EMPLOYEE’S ADDRESS
The employer, established in the Netherlands, with the following particulars
Name of employer:
Address:
Postal code and place:
Chamber of Commerce registration number:
Name of contact person:
Declares that the employee with the following particulars
Name of employee:
Last residential address abroad:
Date of birth DD/MM/YY:
Passport number:
Position:
Has been employed by the employer since DD/MM/YY
and that the employee will be living in
the Netherlands for purposes of the performance of his work for the employer (tick as appropriate):
For an indefinite period from DD/MM/YY
Base salary:
For a fixed period: from DD/MM/YY
to
Base salary:
Future address not yet known
At the following future (temporary) address (not a mailing address):
The employer also declares that all information has been completed truthfully.
Place:
Date: DD/MM/YY
Name of authorised Signatory:
Position of Signatory:
Signature of Signatory:
For any enquiries please contact:
Name:
Phone number: