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FONDS VOOR BESTAANSZEKERHEID VAN WERKLIEDEN UIT HET BOUWBEDRIJF Construction Workers Welfare Fund PATRONALE DIENST VOOR ORGANISATIE EN KONTROLE VAN DE BESTAANSZEKERHEIDSSTELSELS PDOK - Non-profit-making Association STAMP SCHEME FORM FOR THE REGISTRATION OR RE-REGISTRATION OF FOREIGN COMPANIES To be filled in and sent back to PDOK - Lombardstraat 34-42 1000 Brussels Tel. 32 0 2 54 55 639 Fax 32 0 2 54 55 903 E-mail foreign opoc-pdok. be 1. Employer s identifying details Name of the company Address Telephone number Fax number E-mail 2. Possible Belgian correspondence address Name 3. Information regarding the occupation in Belgium Start of occupation Nature of activities in Belgium detailed description a Are you a Dutch company already under the jurisdiction of the CAO voor het Bouwbedrijf in the Netherlands or a German firm already under the jurisdiction of ULAK or SOKA-BAU in Germany Yes. Please enclose proof of this with this registration form* No* Go to item b. b Are you already subject to a scheme comparable to the loyalty stamp scheme end-of-year bonus in your country registration form with a translation NL/FR/EN if necessary. be 1. Employer s identifying details Name of the company Address Telephone number Fax number E-mail 2. Possible Belgian correspondence address Name 3. Information regarding the occupation in Belgium Start of occupation Nature of activities in Belgium detailed description a Are you a Dutch company already under the jurisdiction of the CAO voor het Bouwbedrijf in the Netherlands or a German firm already under the jurisdiction of ULAK or SOKA-BAU in Germany Yes. Possible Belgian correspondence address Name 3. Information regarding the occupation in Belgium Start of occupation Nature of activities in Belgium detailed description a Are you a Dutch company already under the jurisdiction of the CAO voor het Bouwbedrijf in the Netherlands or a German firm already under the jurisdiction of ULAK or SOKA-BAU in Germany Yes. Please enclose proof of this with this registration form* No* Go to item b. b Are you already subject to a scheme comparable to the loyalty stamp scheme end-of-year bonus in your country registration form with a translation NL/FR/EN if necessary. be 1. Employer s identifying details Name of the company Address Telephone number Fax number E-mail 2. Possible Belgian correspondence address Name 3. Information regarding the occupation in Belgium Start of occupation Nature of activities in Belgium detailed description a Are you a Dutch company already under the jurisdiction of the CAO voor het Bouwbedrijf in the Netherlands or a German firm already under the jurisdiction of ULAK or SOKA-BAU in Germany Yes. Please enclose proof of this with this registration form* No* Go to item b. b Are you already subject to a scheme comparable to the loyalty stamp scheme end-of-year bonus in your country registration form with a translation NL/FR/EN if necessary.

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