<?xml version='1.0' encoding='UTF-8'?>
<TWCT501 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="TWCT501_20262.xsd">
	<Form>
		<Identification>TWCT501</Identification>
		<FormCreationDate>2022-08-11</FormCreationDate>
		<FormCreationHour>09:26:58.082</FormCreationHour>
		<AttestationStatus>0</AttestationStatus>
		<TypeForm>SU</TypeForm>
		<HandledOriginalForm>
			<Identification>TWCT001</Identification>
			<FormCreationDate>2013-07-02</FormCreationDate>
			<FormCreationHour>13:28:00.050</FormCreationHour>
			<AttestationStatus>0</AttestationStatus>
			<TypeForm>SU</TypeForm>
		</HandledOriginalForm>
		<DclInformation>
			<LanguageCodePdf>1</LanguageCodePdf>
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		<RiskIdentification>
			<IdentificationOfRisk>001</IdentificationOfRisk>
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		<Reference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>1</ReferenceOrigin>
			<ReferenceNbr>ref123</ReferenceNbr>
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		<HandledReference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>2</ReferenceOrigin>
			<ReferenceNbr>34000058K200N</ReferenceNbr>
		</HandledReference>
		<EmployerDeclarationLink>
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			<Trusteeship>0</Trusteeship>
			<CompanyID>1999999943</CompanyID>
			<HandledEmployerDeclarationLink>
				<NOSSRegistrationNbr>114135340</NOSSRegistrationNbr>
				<Trusteeship>0</Trusteeship>
				<CompanyID>1999999943</CompanyID>
				<EmployerDenomination>LA MAISON DU TRAVAIL INTERIMAIRE</EmployerDenomination>
				<EmployerStreet>AV. HOUZEAU</EmployerStreet>
				<EmployerHouseNbr>91 A</EmployerHouseNbr>
				<EmployerZIPCode>1180</EmployerZIPCode>
				<EmployerCity>UCCLE</EmployerCity>
				<LegalForm>SPRL</LegalForm>
				<ImportanceCode>5</ImportanceCode>
			</HandledEmployerDeclarationLink>
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				<LocalUnitID>2003019217</LocalUnitID>
				<HandledOperationalOfficeIdentification>
					<LocalUnitID>2003019217</LocalUnitID>
					<Denomination />
					<Address>
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						<HouseNbr>2</HouseNbr>
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						<City>Brussel</City>
						<Country>150</Country>
					</Address>
				</HandledOperationalOfficeIdentification>
			</OperationalOfficeIdentification>
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				<FirstName>Jan</FirstName>
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					<EmailAddress>J.VHeerwege@internet.be</EmailAddress>
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				<Address>
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					<HouseNbr>52</HouseNbr>
					<PostBox>C</PostBox>
					<ZIPCode>9050</ZIPCode>
					<City>Gentbrugge</City>
					<Country>00150</Country>
				</Address>
			</CoordinatesContactPerson>
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				<NaturalPersonSequenceNbr>1</NaturalPersonSequenceNbr>
				<INSS>74101199805</INSS>
				<HandledNaturalPerson>
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					<WorkerName>DUDAS</WorkerName>
					<WorkerFirstName>MURIEL</WorkerFirstName>
					<WorkerBirthdate>1968-03-10</WorkerBirthdate>
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					<Nationality>00150</Nationality>
					<OriolusSuccessCode>2</OriolusSuccessCode>
					<OriolusSubStatusRip>4</OriolusSubStatusRip>
					<BisFlagIndication>1</BisFlagIndication>
					<NaturalPersonUserReference>String</NaturalPersonUserReference>
				</HandledNaturalPerson>
				<IndividualUnempPeriod>
					<IndividualUnempEndingDate>2013-07-12</IndividualUnempEndingDate>
				</IndividualUnempPeriod>
			</NaturalPerson>
			<NaturalPerson>
				<NaturalPersonSequenceNbr>2</NaturalPersonSequenceNbr>
				<INSS>80110927812</INSS>
				<HandledNaturalPerson>
					<NaturalPersonSequenceNbr>2</NaturalPersonSequenceNbr>
					<INSS>80110927812</INSS>
					<WorkerName>JANSSENS</WorkerName>
					<WorkerFirstName>RUDY</WorkerFirstName>
					<WorkerInitial>P</WorkerInitial>
					<WorkerBirthdate>1980-11-09</WorkerBirthdate>
					<WorkerBirthplace>LEUVEN</WorkerBirthplace>
					<WorkerBirthplaceCountry>150</WorkerBirthplaceCountry>
					<WorkerSex>1</WorkerSex>
					<WorkerStreet>DUINBERGLAAN</WorkerStreet>
					<WorkerHouseNbr>11</WorkerHouseNbr>
					<WorkerZIPCode>3000</WorkerZIPCode>
					<WorkerCity>LEUVEN</WorkerCity>
					<WorkerCountry>150</WorkerCountry>
					<Nationality>150</Nationality>
					<OriolusSuccessCode>2</OriolusSuccessCode>
					<OriolusSubStatusRip>4</OriolusSubStatusRip>
					<BisFlagIndication>1</BisFlagIndication>
					<NaturalPersonUserReference>String</NaturalPersonUserReference>
				</HandledNaturalPerson>
			</NaturalPerson>
			<TempUnempEconomical>
				<RegimeTempUnemp>1</RegimeTempUnemp>
				<JointCommissionNbr>149</JointCommissionNbr>
				<JointCommissionLevel>050</JointCommissionLevel>
				<ReasonTempUnemp>Gebrek aan bestellingen</ReasonTempUnemp>
				<DeclarationOnHonour>1</DeclarationOnHonour>
				<TempUnemploymentPeriod>
					<TempUnemploymentStartingDate>2013-07-11</TempUnemploymentStartingDate>
					<TempUnemploymentEndingDate>2013-07-13</TempUnemploymentEndingDate>
				</TempUnemploymentPeriod>
			</TempUnempEconomical>
		</EmployerDeclarationLink>
	</Form>
</TWCT501>