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Registration form eRecognition assurance level EH1

C.o.C. number

* This field is required

 
Based on the C.o.C. number, the address of your company will be automatically retrieved. This may take several seconds. If the address is not retrieved automatically, please check the C.o.C. number and fill the address in yourself.
C.o.C. number*
 

Company information

 
Trade name organization*
 
Address*
 
Zip code*
 
City*
 
PO/Reference number
 
Would you like to give a specific billing address for this application?  

Authorized representative

* This field is required

 
The authorized representative of the organization has to give permission for the issuance of an eRecognition. In the chamber of commerce (C.o.C.) extract you can see who are authorized to act on behalf of the organization. It is also possible for an organization to appoint an authorization manager that gives permission to apply for eRecognition. Please indicate below which situation applies to you.
An authorized representative gives consent:*  

User

* This field is required

 
Is the user in paid employment? See identification requirements.  
Do you want to restrict the rights of this user to a specific branch of your organization?  

Authorization(s)

 
For this application at EH1 level, the user will be authorized for all existing and future public service and currents at this level.
Assurance level EH1
Service provider:
Service:
select
select

Validity

 
Select the desired duration for your eRecognition login. By the end of this period you will be able to renew your eRecognition login.
select

Invoice summary

 
New eRecognition login EH1 € 28,95
Total excluding VAT € 28,95
VAT € 6,08
Total including VAT € 35,03
Regarding your application you will receive an invoice at the following e-mail address: . Please send your payment within 21 days of receiving this invoice.

Checking the provided data

 
Check if all data is filled in correctly. If we receive an incomplete/incorrect form, we cannot process your application.
Authorizations
Validity: 5 years
Assurance level:
Service provider:
Service:
EH1
Alle dienstverleners
Alle diensten EH1
By the end of this period you will be able to renew your eRecognition login.
Invoice summary
New eRecognition login EH1
€ 28,95
 
Total excluding VAT
VAT
Total including VAT
€ 28,95
€ 6,08
€ 35,03
Regarding your application you will receive an invoice at the following e-mail address: . Please send your payment within 21 days of receiving this invoice.

Terms & Conditions

 
To complete your application, you must agree to the following conditions.

Hereby I declare:
Have checked this registration form for accuracy and have filled in truthfully;
To agree to the terms of use Elektronische Toegangsdiensten (Download), the Nederland ICT 2014 terms of use (Download) and the privacy policy of CreAim. In case of inconsistency between the terms of use Elektronische Toegangsdiensten and Nederland ICT 2014 terms of use the latter will prevail.

Completion

 
Thank you for your application. You can download your application here below. As confirmation, you will receive an email on with your application attached to it.
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