Wijzigingsformulier IBAN bankrekeningnummer Alterationform International Bank Account Number Het volledig ingevulde en door u ondertekende formulier dient u in te leveren bij uw afdeling P&O. Please submit the completed form, signed by you, to your HR department. Naam / Name -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Geboortedatum / Date of birth -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Dienstverbandnr. / Contract number ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Payroll nummer / number ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Huidig IBAN / Current IBAN Rekeningnummer / Accountnumber: ------------------------------------------------------------------------------------------- Nieuw IBAN / New IBAN Rekeningnummer / Accountnumber: --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Naam zoals op bankpas vermeld (t.b.v. een correcte salarisoverboeking): / Name as shown on bank card (for a correct transfer of salary): -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Ondertekening Werknemer / Signature Employee Naam / Name ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Datum / Date ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ FSSC/SalAdm /mei 2014 1 van 1
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