New Hire Form Belgium (AFF)
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1 New Hire Form Belgium (AFF) NEW HIRE FORM INSTRUCTIONS If you have any questions regarding this form, please call HR Employee Services at To return the completed form, or send a fax to When submitting this form, please complete all required fields designated with an asterisk (*). All other fields are optional. INITIATOR INFORMATION (The initiator can be HR/Recruiter or Manager) *Submit Date (DD/MM/XXXX) : *Initiator Employee ID# : *Initiator Address: Initiator Contact Number: *Initiator Full Name (First/Last): Recruiter Information (if applicable): CANDIDATE INFORMATION *Achternaam (Last Name): *Voornaam (First Name): *Andere voornamen (Other First Names): *Nationaliteit (Nationality): *Rijksregisternummer/BSN-nummer (National Identifier): *Identiteitskaartnummer (National ID Card#): *Geboortedatum (Date of Birth) (DD/MM/XXXX) : *Geboorteplaats (Town Of Birth): *Geboorteland (Country Of Birth): *Geslacht (Gender): *Taal werknemer (Language): *Mindervalide (Registered Disabled): Y N *Datum in dienst (Date Of Hire) (DD/MM/XXXX): *Anciënniteitsdatum (Date of Seniority) (DD/MM/XXXX) : CANDIDATE CONTACT INFORMATION *Straat (Street): *Nummer (Number): *Postbus (Box): *Postnummer (Postal Code): *Gemeente (City): *Land (Country): *Telefoonnummer (Phone Home): *GSM-nummer (Mobile): * Privé (Private ):
2 Contact bij noodgevallen / EMERGENCY CONTACTS *Achternaam (Last Name): *Voornaam (First Name): *Relatie (Relationship): *Telefoonnummer (Phone Home): *GSM-nummer (Mobile): *Achternaam (Last Name): *Voornaam (First Name): *Relatie (Relationship): *Telefoonnummer (Phone Number Home): *GSM-nummer (Mobile Number): PARTNER INFORMATION *Gezinssituatie (Marital Status): Ongehuwd (Single) Gehuwd (Married) Weduwnaar-Weduwe (Widowed) Wettelijk gescheiden (Divorced) Leeft gescheiden (Seperated) Samenwonend (Cohabiting) Weduwe met overlevingspensioen ( Widow w Survivorspouse s pension Wettelijk samenwonend (Legally Cohabiting) *Achternaam Partner (Last Name Partner): *Voornaam Partner (First Name Partner): *Geboortedatum Partner (Date of Birth Partner) (DD/MM/XXXX) : *Huwelijksdatum, indien van toepassing (Date Mariage, if applicable) (DD/MM/XXXX) : *Beroep Partner (Profession Partner): Inkomen < 175/m (Income < 175/m) Onbekend (Unknown) Arbeid(st)er (Blue Collar Worker) Bediende (White Collar Worker) Zelfstandige (Self Employed) Staat-Provincie-Gemeente (State-Province-Local Authority) Andere (Other) Zonder (None)
3 FAMILY INFORMATION Achternaam (Last Name) Voornaam (First Name) Geslacht (Gender) Geb datum (Date Birth) (DD/MM/XXXX) Relatie (Relation) Ten Laste (At Charge) School DEPENDENTS INFORMATION (INCOME TAX) *# Personen Fiscaal ten laste (Persons at charge): Echtgeno(o)t(e) (Partner) Kinderen (Children) Anderen (Other) Anderen +65j (Other +65y) # Valide (Non Disabled) # Mindervalide (Disabled) BANK DETAILS *Belgisch rekeningnummer-iban (Belgian Bank Account #-IBAN): *Belgisch (Belgian) BIC/SWIFT #: *Buitenlands rekeningnummer-iban (Foreign Bank Account #-IBAN): *Buitenlands BIC/SWIFT (Foreign BIC/SWIFT #): PASSPORT / VISA INFORMATION PASPOORT Informatie, enkel indien van toepassing (PASSPORT Details, Only if Applicable) Paspoort Nummer Land (Country) (Passport Number) Plaats van Uitgifte Datum van uitgifte (Place of Issue) (Issue Date) Einddatum Nationaliteit (Expire Date) (Citizenship) VISUM Informatie, enkel indien van toepassing (VISA Details, Only if Applicable) Visum Type (Visa Type) Visum Nummer (Visa Number) Datum van Uitgifte (Issue Date) Land v Uitgifte (Issuing Country) Einddatum(Expire Date)
4 ASSIGNMENT DETAILS *Organisatie (Organization Name): 4 segment string (BE.MAC.Field Sales.POS-FSS-BRUGGE) *Functietitel Engels/ Nederlands (Job Title English/Dutch): 4 segment string (Sales.Point of Sales..Make-Up Artist) *Locatie (Location): 4 segment string (BE.Brugges.MAC-City Center.FSS) *Afdeling (Door number): *Tax Unit (Legale Entiteit): *Datum 1ste EL Contract (Concern Date) (DD/MM/YYYY): *Dagen per Week (Days per Week): ASSIGNMENT STATUS *Functie Categorie (Assignment Category): Voltijds Permanent Contract (Full Time Regular) Deeltijds Permanent Contract (Part Time Regular) Voltijds Tijdelijk Contract (Full Time Temp) Deeltijds Tijdelijk Contract (Part Time Temp) *Indien Tijdelijk Contract, welke is de einddatum (End Date Temp Contract)? (DD/MM/YYYY): *Is dit een weder-aanwerving? (Is this person a Rehire)*?: Ja (Yes) Neen (No) *Indien Ja (If yes) Nieuwe datum in dienst (Adjusted Hire Date) (DD/MM/YYYY) 1ste Datum in dienst (Date 1 st Hire) (DD/MM/YYYY) *Achternaam Manager (Laste Name Manager): *Voornaam Manager (First Name Manager): *Ondergeschikten J/N (Direct Reports Y/N): Indien Ja, gelieve hieronder de namen in te vullen (If Yes, please complete Names): Achternaam (Last Name) Voornaam (First Name)
5 PAYROLL INFORMATION *Plaats Tewerkstelling (Place of Employment): *Vestigingsnummer (Branch Number): Estee lauder cosmetics Mac leuven fss Mac antwerpen fss Mac hasselt fss Mac brussel fss Mac namen fss Mac wijnegem fss Mac woluwe fss Mac gent fss Mac dansaert fss Mac knokke fss Mac brugge fss Mac liege fss Mac louvain la neuve fss Mac rue neuve fss Vestigingsnummer in aanvraag *Stelsel (Regime) [HR ONLY]: 5-dagen (5 Days) 6-dagen (6 Days) GROEP (GROUP) 01 Confidential 02 Employees 40h regime 04 Employees 38h regime *Uren per week (Hours per Week): *Loon (Salary Actual Pay Amount): Bedrag Maandloon (BE Monthly) *Loonbasis (Salary Basis): *Payroll Name: BE (AFF) Monthly 13,92 BE AFF Monthly BE AFF Confidential *Contract Type (EE Specification): 08 Bed (White Collar Worker BE) 11 Student Tax Regime (HR Only): 1. Exempt from Tax Pays taxes as independent worker 2. Exempt from Tax Pays taxes in foreign country 3. Exempt from Tax Taxes paid by the Fund of disabled persons 4. Exempt from Tax Working Student 5. Exempt from Tax Young Workers A. Subject to Tax B. Tax non-residents C. Fictional Tax
6 Social Security Regime (HR Only): 1. Exempt for Social Security Unemployed Worker in Non-Profit Organization 2. Exempt for Social Security Professional Training/Apprenticeship 3. Exempt for Social Security Pays Social Security in another Country 4. Exempt for Social Security Pays Social Security as Independent 5. Exempt for Social Security Overseas Social Security 6. Exempt for Social Security Employment for a short period 7. Exempt for Social Security Badge Masters 8. Exempt for Social Security - Student 9. Exempt for Social Security Attendant for Student Transport of Lunch 10. Exempt for Social Security Domestic Personnel <24h 11. Subject to Social Security BONUS INFORMATION *Effective Date: DD/ MM / YYYY *Bonus Plan: Calendar Year End (Global) Calendar Year End (Local) Fiscal (Global) Fiscal (Local) Sales *Type: Calendar Year End Calendar Year End Guarantee Fiscal (Guarantee) Fiscal Opportunity Special Bonus Sales (Guarantee) SMI Sales Opportunity Sign On Payment * Munteenheid / Reference Currency (i.e. Euro): *Opportunity Percent: OR *Full Year Annual Opportunity Amount: Cross Charge Entity 1: Cross Charge Entity % 1: Cross Charge Entity 2: Cross Charge Entity % 2: * Bemerking / Comments Flag: Criteria Level: Guaranteed Pro-rated Full Year Opportunity (not prorated) First Level Management Middle Level Management Top Level Management GM -1 GM -2 GM -3 Bonus Earning Interval (choose one): Annual Monthly Quarterly Bonus Payment Interval (choose one): Annual Monthly Quarterly APPROVALS Manager Approval Manager Full Name: Employee ID: Signature: Manager +1 Approval Manager Full Name: Employee ID: Signature: HR Approval HR Contact Full Name: Employee ID: Signature: Date Received HR Connect Use Only Date Completed Auditor s Name Audit Use Only Issue ESR Name Signature Date Audited Date Corrected New Hire Oracle Access Type Case ID Assigned to Corrected By Remarks Notified Participants Downstream
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