Registration Form

Contact information

Personal Information

Education and work

Other

Contact information

First Name *

Last Name *

Email Address *

Mobile Number * ? Mobile Number
A Belgian phone number contains 10 digits. First enter the country code if you have a non-Belgian phone number (e.g. 0033 for France).

Legal Gender * ? Legal Gender
Gender indicated on ID card.

Birth Date *

Place of Birth *

Country of birth *

Nationality *

Language *

National register number * ? National register number
A national register number consists of 11 digits. Enter it without punctuation marks.

Identity card number * ? Identity card number
A Belgian ID card number consists of 12 digits. A non-Belgian ID card number may vary. Enter your card number without punctuation marks.

Marital Status *

Official Address

Country *

Street *

Number *

WettelijkAdresBus

Postcode *

City *

Residence address

I'm staying at an address other than my official address

Bank details

IBAN * ? IBAN
A Belgian IBAN number consists of 14 digits preceded by BE. An IBAN number for a non-Belgian account may vary. Enter your number without punctuation marks.

Fiscal

Dependent children *

Tax information * ? Tax information
What percentage should I choose ? Click on the question mark for more information.

Disabled

Education

Education level * ? Education level
Choose the highest grade of certificate or diploma you have obtained.

I am a student

Work

Client * ? Client
If you already know which company you will be working for, please enter the name of your customer here. If you don't know yet, please enter: “n/a”.

Transport

Transport mode *

Amplo Office

Office *

Hello Amplo

HelloAmplo is a personal, interactive online dashboard for Amplo freelancers. It gives you an overview, is crystal-clear and brings together all your administrative information, as well as the documents you need for your assignments and contracts, in one virtual place. It lets you keep close track of your assignments, whenever and wherever you need to. With this digital tool, we aim to optimize our service and personalize it as much as possible.

I would like an account on the HelloAmplo portal

Terms and conditions

I have read and accept the General terms and conditions *

Registration Form

Contact information

Additional information about your partner

Official Address

Residence address

Bank details

Fiscal

Education

Work

Transport

Amplo Office

Hello Amplo

Terms and conditions