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<ns0:GenericXmlDocument xmlns:ns0="http://www.smals-mvm.be/xml/ns/systemFlux" xmlns:ns2="http://socialsecurity.be/xml/ns/loic" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.smals-mvm.be/xml/ns/systemFlux GenericXmlDocument_20262.xsd">
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		<ns0:Identification>LOIC001</ns0:Identification>
		<ns0:FormCreationDate>2022-08-10</ns0:FormCreationDate>
		<ns0:FormCreationHour>14:00:00.000</ns0:FormCreationHour>
		<ns0:AttestationStatus>0</ns0:AttestationStatus>
		<ns0:TypeForm>SU</ns0:TypeForm>
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			<ns0:EmployerId>
				<ns0:NOSSRegistrationNbr>175110995</ns0:NOSSRegistrationNbr>
				<ns0:CompanyID>1234569973</ns0:CompanyID>
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					<ns0:CharacterFormat>NATIVE</ns0:CharacterFormat>
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			<ns0:DocumentXML>
				<ns2:LOIC001 xsi:schemaLocation="http://socialsecurity.be/xml/ns/loic LOIC001_20262.xsd">
					<ns2:DclInformation>
						<ns2:LanguageCodePdf>1</ns2:LanguageCodePdf>
					</ns2:DclInformation>
					<ns2:CoordinatesContactPerson>
						<ns2:Name>Gyssels</ns2:Name>
						<ns2:FirstName>Philip</ns2:FirstName>
						<ns2:Address>
							<ns2:Street>Keizerslaan</ns2:Street>
							<ns2:HouseNbr>7</ns2:HouseNbr>
							<ns2:PostBox>a</ns2:PostBox>
							<ns2:ZIPCode>1000</ns2:ZIPCode>
							<ns2:City>Bruxelles</ns2:City>
							<ns2:Country>150</ns2:Country>
						</ns2:Address>
						<ns2:Communication>
							<ns2:PhoneNbr>025154207</ns2:PhoneNbr>
							<ns2:GSMNbr>0478361562</ns2:GSMNbr>
							<ns2:FaxNbr>027635711</ns2:FaxNbr>
							<ns2:EmailAddress>philip.gyssels@rva.be</ns2:EmailAddress>
						</ns2:Communication>
					</ns2:CoordinatesContactPerson>
					<ns2:WorkerContactDetails>
						<ns2:EmailAddress>Loic.Worker@rva.be</ns2:EmailAddress>
					</ns2:WorkerContactDetails>
					<ns2:InterruptionInformation>
						<ns2:StartingDate>2022-10-01</ns2:StartingDate>
						<ns2:EndingDate>2023-09-30</ns2:EndingDate>
						<ns2:InterruptionType>5002</ns2:InterruptionType>
						<ns2:InterruptionRegime>5</ns2:InterruptionRegime>
						<ns2:LegalBasis>10</ns2:LegalBasis>
						<ns2:MeanWorkingHours>3800</ns2:MeanWorkingHours>
						<ns2:RefMeanWorkingHours>3800</ns2:RefMeanWorkingHours>
						<ns2:JointCommissionNbr>100</ns2:JointCommissionNbr>
						<ns2:WeekHoursNbr>3040</ns2:WeekHoursNbr>
						<ns2:WorkingSystemType>F</ns2:WorkingSystemType>
						<ns2:Duration>1</ns2:Duration>
						<ns2:TimeUnit>4</ns2:TimeUnit>
					</ns2:InterruptionInformation>
					<ns2:EmployerInterruptionForm>
						<ns2:DocumentDate>2022-09-15</ns2:DocumentDate>
						<ns2:InterruptionSectorCode>1A</ns2:InterruptionSectorCode>
						<ns2:Questionnaire>
							<ns2:InterruptionQuestion>
								<ns2:InterruptionQuestionCode>QR01</ns2:InterruptionQuestionCode>
								<ns2:InterruptionQuestionAnswer>1</ns2:InterruptionQuestionAnswer>
							</ns2:InterruptionQuestion>
							<ns2:InterruptionQuestion>
								<ns2:InterruptionQuestionCode>QR02</ns2:InterruptionQuestionCode>
								<ns2:InterruptionQuestionAnswer>1</ns2:InterruptionQuestionAnswer>
							</ns2:InterruptionQuestion>
							<ns2:InterruptionQuestion>
								<ns2:InterruptionQuestionCode>QR06</ns2:InterruptionQuestionCode>
								<ns2:InterruptionQuestionAnswer>1</ns2:InterruptionQuestionAnswer>
							</ns2:InterruptionQuestion>
							<ns2:InterruptionQuestion>
								<ns2:InterruptionQuestionCode>QR13</ns2:InterruptionQuestionCode>
								<ns2:InterruptionQuestionAnswer>0</ns2:InterruptionQuestionAnswer>
							</ns2:InterruptionQuestion>
						</ns2:Questionnaire>
						<ns2:InterruptionThresholdInformation>
							<ns2:InterruptionWorkersThreshold>02</ns2:InterruptionWorkersThreshold>
							<ns2:AgreementDate>2019-06-01</ns2:AgreementDate>
							<ns2:NbrOfWorkers>05</ns2:NbrOfWorkers>
						</ns2:InterruptionThresholdInformation>
						<ns2:CollectiveLabourAgreement>
							<ns2:CLACode>CLA103</ns2:CLACode>
						</ns2:CollectiveLabourAgreement>
					</ns2:EmployerInterruptionForm>
					<ns2:CommentDeclaration>
						<ns2:CommentOfDeclaration>Tijdskrediet met motief palliatief 1 vijfde </ns2:CommentOfDeclaration>
					</ns2:CommentDeclaration>
				</ns2:LOIC001>
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</ns0:GenericXmlDocument>