Request Affiliation Staff

Request Affiliation Staff
Request for affiliation of staff from*
Name organization/company
Applicant Information
Name of applicant

First NameLast Name
Position of applicant*
Enter the job title of the person submitting the application on behalf of the organization/company.
Copy of Applicant's ID

You are required to submit a digital scan or copy of the applicant's valid identity document (identity card, driver’s license, or passport). Ensure that all information on the document, including the picture, is clearly visible in the digital scan or copy.
Select and upload the requested document*Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB*

Cancelof
Email of Applicant*
example@example.com
Information Legal entity
Legal entity is operational as of*

MonthDayYear
Date
Current workforce legal entity*
Core business legal entity*
Is the Legal Entity under the supervision of a Regulatory Authority?*

YesNo
Please specify which Regulatory Authority*
Is the legal entity willing to make salary deductions for ACU?*

YesNo
Does the legal entity get a subsidy from the government?*

YesNo
Since when does the legal entity get subsidy from the government*

MonthDayYear
Date
Is there any government interest in the legal entity?*

YesNo
Since when is there any government interest in the legal entity*

MonthDayYear
Date
Managing Director Legal entity*
Management composition of the legal entity
Address legal entity*

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number(s) Legal entity*
Email Legal entity*
example@example.com
Chamber of Commerce Extract

Please upload a digital copy or scan of the extract from the Chamber of Commerce and Industry of Curaçao, Bonaire, Sint Maarten, Sint Eustatius, or Saba. Ensure that the document is clear and legible.
Select and upload the requested document*Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB*

Cancelof
Recipients mail 2
example@example.com
hidden field
Nomber Petishon
Submission Date

DayMonthYear
Date
Should be Empty: