<?xml version='1.0' encoding='UTF-8'?>
<WECH005 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="WECH005_20261.xsd">
	<Form>
		<Identification>WECH005</Identification>
		<FormCreationDate>2022-08-11</FormCreationDate>
		<FormCreationHour>10:50:58.082</FormCreationHour>
		<AttestationStatus>0</AttestationStatus>
		<TypeForm>SU</TypeForm>
		<DclInformation>
			<LanguageCodePdf>1</LanguageCodePdf>
		</DclInformation>
		<RiskIdentification>
			<IdentificationOfRisk>001</IdentificationOfRisk>
		</RiskIdentification>
		<RiskIdentification>
			<IdentificationOfRisk>007</IdentificationOfRisk>
		</RiskIdentification>
		<RiskIdentification>
			<IdentificationOfRisk>009</IdentificationOfRisk>
		</RiskIdentification>
		<EmployerDeclarationLink>
			<NOSSRegistrationNbr>120872669</NOSSRegistrationNbr>
			<Trusteeship>0</Trusteeship>
			<CompanyID>1111111456</CompanyID>
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				<NaturalPersonSequenceNbr>1</NaturalPersonSequenceNbr>
				<INSS>74101199805</INSS>
				<WorkerRecordLink>
					<EmployerClass>022</EmployerClass>
					<WorkerCode>015</WorkerCode>
					<OccupationLink>
						<OccupationStartingDate>2010-05-01</OccupationStartingDate>
						<JointCommissionNbr>305.02</JointCommissionNbr>
						<WorkingDaysSystem>500</WorkingDaysSystem>
						<MeanWorkingHours>3800</MeanWorkingHours>
						<RefMeanWorkingHours>3800</RefMeanWorkingHours>
						<MonthlyDclTempUnemploymentHours>
							<CalculationBaseAllowance>
								<RemunerationTimeUnit>4</RemunerationTimeUnit>
								<RemunerationBasisAmount>0000245790</RemunerationBasisAmount>
							</CalculationBaseAllowance>
							<ReferencePeriod>
								<RefStartingDate>2021-01-01</RefStartingDate>
								<RefEndingDate>2021-01-31</RefEndingDate>
								<NatureOfDay>
									<DayIndicator>--01-07</DayIndicator>
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									<HoursNumber>0500</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--01-08</DayIndicator>
									<DayNatureCode>5.9</DayNatureCode>
									<HoursNumber>0300</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--01-14</DayIndicator>
									<DayNatureCode>5.1</DayNatureCode>
									<HoursNumber>0500</HoursNumber>
								</NatureOfDay>
								<NatureOfDay>
									<DayIndicator>--01-29</DayIndicator>
									<DayNatureCode>5.7</DayNatureCode>
									<HoursNumber>0200</HoursNumber>
								</NatureOfDay>
							</ReferencePeriod>
							<WinterFormation>
								<FormationStartingDate>2021-04-01</FormationStartingDate>
								<FormationEndingDate>2021-04-15</FormationEndingDate>
							</WinterFormation>
							<Department>
								<DepartmentName>kuisploeg equipe nettoyage</DepartmentName>
								<DepartmentReceptionNbr>45444454511</DepartmentReceptionNbr>
							</Department>
							<Department>
								<DepartmentName>opnameploeg equipe accueil </DepartmentName>
								<DepartmentReceptionNbr>3400048ENN00C</DepartmentReceptionNbr>
							</Department>
							<CommentDeclaration>
								<CommentOfDeclaration>example</CommentOfDeclaration>
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						</MonthlyDclTempUnemploymentHours>
					</OccupationLink>
				</WorkerRecordLink>
			</NaturalPerson>
		</EmployerDeclarationLink>
	</Form>
</WECH005>