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2 Client Company

3 Assignment

Mr. Mrs.*
- Mr.
- Mrs.
First name*
Last Name*
Street / House Number*
ZIP Code*
City*
Country*
Phone*
Email*
Detailed information
Nationality*
CH or Work Permit*
Date of Birth*
Date Format: DD slash MM slash YYYY
Social Security number (OASI)
Civil status*
Number of dependent children*
Profession

Client Company
Contact First Name
Contact Last Name
Client Company Street / House Number
ZIP Code
City
Country
Phone number
Contact Person Email
Last name
Email
How did you hear about us?
Please select*

Assignment information
Assignment as*
Daily rate excl. VAT
Gross salary if agreed
Start date
Date Format: DD slash MM slash YYYY
End Date or open ended
Date Format: DD slash MM slash YYYY
Number of days worked per month
Consent to be contacted*
- Consent to be contacted
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