<?xml version='1.0' encoding='UTF-8'?>
<WECH505 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="WECH505_20261.xsd">
	<Form>
		<Identification>WECH505</Identification>
		<FormCreationDate>2022-08-11</FormCreationDate>
		<FormCreationHour>12:10:58.082</FormCreationHour>
		<AttestationStatus>0</AttestationStatus>
		<TypeForm>SU</TypeForm>
		<HandledOriginalForm>
			<Identification>WECH005</Identification>
			<FormCreationDate>2016-07-01</FormCreationDate>
			<FormCreationHour>12:29:20.774</FormCreationHour>
			<AttestationStatus>0</AttestationStatus>
			<TypeForm>SU</TypeForm>
		</HandledOriginalForm>
		<CoordinatesInformant>
			<UserQuality>1</UserQuality>
			<Denomination>Pubmarket</Denomination>
		</CoordinatesInformant>
		<DclInformation>
			<LanguageCodePdf>1</LanguageCodePdf>
		</DclInformation>
		<RiskIdentification>
			<IdentificationOfRisk>001</IdentificationOfRisk>
		</RiskIdentification>
		<RiskIdentification>
			<IdentificationOfRisk>007</IdentificationOfRisk>
		</RiskIdentification>
		<RiskIdentification>
			<IdentificationOfRisk>009</IdentificationOfRisk>
		</RiskIdentification>
		<HandledReference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>2</ReferenceOrigin>
			<ReferenceNbr>34000025CY01X</ReferenceNbr>
		</HandledReference>
		<NOSSLPAEmployerDeclarationLink>
			<NOSSLPARegistrationNbr>01060027</NOSSLPARegistrationNbr>
			<CompanyID>0</CompanyID>
			<HandledNOSSLPAEmployerDclLink>
				<NOSSLPARegistrationNbr>01060027</NOSSLPARegistrationNbr>
				<CompanyID>0</CompanyID>
				<EmployerDenomination>ADM. PROVINCIALE DE MONS</EmployerDenomination>
				<EmployerStreet>RUE DE LA REPUBLIQUE</EmployerStreet>
				<EmployerHouseNbr>121</EmployerHouseNbr>
				<EmployerZIPCode>4000</EmployerZIPCode>
				<EmployerCity>LIEGE</EmployerCity>
				<ImportanceCode>9</ImportanceCode>
			</HandledNOSSLPAEmployerDclLink>
			<NaturalPerson>
				<NaturalPersonSequenceNbr>1</NaturalPersonSequenceNbr>
				<INSS>74101199805</INSS>
				<HandledNaturalPerson>
					<NaturalPersonSequenceNbr>1</NaturalPersonSequenceNbr>
					<INSS>74101199805</INSS>
					<WorkerName>HERMANS</WorkerName>
					<WorkerFirstName>CELINE</WorkerFirstName>
					<WorkerBirthdate>1974-10-11</WorkerBirthdate>
					<WorkerSex>2</WorkerSex>
					<Nationality>00150</Nationality>
					<OriolusSuccessCode>1</OriolusSuccessCode>
					<OriolusSubStatusRip>0</OriolusSubStatusRip>
					<BisFlagIndication>0</BisFlagIndication>
				</HandledNaturalPerson>
				<WorkerRecordLink>
					<EmployerClass>952</EmployerClass>
					<WorkerCode>103</WorkerCode>
					<HandledWorkerRecordLink>
						<EmployerClass>952</EmployerClass>
						<WorkerCode>015</WorkerCode>
					</HandledWorkerRecordLink>
					<OccupationLink>
						<OccupationStartingDate>2016-06-01</OccupationStartingDate>
						<OccupationEndingDate>2016-06-30</OccupationEndingDate>
						<JointCommissionNbr>999</JointCommissionNbr>
						<MeanWorkingHours>2500</MeanWorkingHours>
						<RefMeanWorkingHours>3600</RefMeanWorkingHours>
						<HandledOccupationLink>
							<OccupationStartingDate>2016-06-01</OccupationStartingDate>
							<OccupationEndingDate>2016-06-30</OccupationEndingDate>
							<JointCommissionNbr>999</JointCommissionNbr>
							<MeanWorkingHours>2500</MeanWorkingHours>
							<RefMeanWorkingHours>3600</RefMeanWorkingHours>
							<InternalOccupationNbr>34000023LV01T</InternalOccupationNbr>
							<OccupationValidationCode>100</OccupationValidationCode>
						</HandledOccupationLink>
						<MonthlyDclTempUnemploymentHours>
							<CalculationBaseAllowance>
								<RemunerationTimeUnit>4</RemunerationTimeUnit>
								<RemunerationBasisAmount>0000245790</RemunerationBasisAmount>
							</CalculationBaseAllowance>
							<WorkGrid>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>1</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0500</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>2</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0500</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>3</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0500</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>4</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0500</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>5</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0500</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>6</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0000</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<IndicationDaysAndHours>
									<DaysIndicatorAboutWorkSchedule>7</DaysIndicatorAboutWorkSchedule>
									<HoursNumberAboutWorkSchedule>0000</HoursNumberAboutWorkSchedule>
								</IndicationDaysAndHours>
								<CommentWorkGrid>
									<CommentAboutWorkSchedule>zelfde regeling gedurende volledige maand</CommentAboutWorkSchedule>
								</CommentWorkGrid>
							</WorkGrid>
							<ReferencePeriod>
								<RefStartingDate>2016-06-01</RefStartingDate>
								<RefEndingDate>2016-06-30</RefEndingDate>
								<NatureOfDay>
									<DayIndicator>--06-07</DayIndicator>
									<DayNatureCode>5.1</DayNatureCode>
									<HoursNumber>0500</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--06-08</DayIndicator>
									<DayNatureCode>5.9</DayNatureCode>
									<HoursNumber>0300</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--06-14</DayIndicator>
									<DayNatureCode>5.1</DayNatureCode>
									<HoursNumber>0500</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--06-29</DayIndicator>
									<DayNatureCode>5.7</DayNatureCode>
									<HoursNumber>0200</HoursNumber>
								</NatureOfDay>
							</ReferencePeriod>
							<ClosingPeriod>
								<ClosingPeriodStartingDate>2016-06-10</ClosingPeriodStartingDate>
								<ClosingPeriodEndingDate>2016-06-13</ClosingPeriodEndingDate>
							</ClosingPeriod>
							<ClosingPeriod>
								<ClosingPeriodStartingDate>2016-07-30</ClosingPeriodStartingDate>
								<ClosingPeriodEndingDate>2016-08-14</ClosingPeriodEndingDate>
							</ClosingPeriod>
							<WinterFormation>
								<FormationStartingDate>2021-04-01</FormationStartingDate>
								<FormationEndingDate>2021-04-03</FormationEndingDate>
							</WinterFormation>
							<Department>
								<DepartmentName>kuisploeg</DepartmentName>
								<DepartmentReceptionNbr>45444454511</DepartmentReceptionNbr>
							</Department>
							<Department>
								<DepartmentName>opnameploeg</DepartmentName>
								<DepartmentReceptionNbr>3400048ENN00C</DepartmentReceptionNbr>
							</Department>
							<CommentDeclaration>
								<CommentOfDeclaration>testaangifte</CommentOfDeclaration>
							</CommentDeclaration>
						</MonthlyDclTempUnemploymentHours>
					</OccupationLink>
				</WorkerRecordLink>
			</NaturalPerson>
		</NOSSLPAEmployerDeclarationLink>
	</Form>
</WECH505>