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Change partner and/or child details
Company Name
*
Initials and Surname
*
Surname
*
Gender
*
M
F
E-mail address
*
Phone number
Employee Data
Gender
*
M
F
Initials and Surname
*
Surname
*
Marital status
*
Married
Registered parnership
Live together
Single
Divorced
Children
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Yes
No
Date of registered partnership or marriage
*
Date divorced
*
Date of entry
*
dd/mm/yyyy
Partner details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth partner
*
dd/mm/yyyy
BSN Number partner
*
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Add another child?
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Add another child?
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Add another child?
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Add another child?
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Add another child?
Child details
Gender
*
M
F
Initials and Surname
*
Surname
*
Date of birth child
*
dd/mm/yyyy
BSN Number child
*
Particular details
Agreement entered data
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