Retirement Savings

Secure forms

*Required information

Applicant

Surname *
First name *
Gender *
Date of birth (dd/mm/yyyy) *
National Number (NISS) * Not valid number (belgian format)
Marital status *
Employment status *
Specify exact occupation *
Office telephone no.
Email *

Spouse or co-applicant

Name
First name
Gender
Date of birth (dd/mm/yyyy)
National Number (NISS) Not valid number (belgian format)
Marital status
Employment status
Specify exact occupation
Office telephone no.
Spouse's e-mail address

Address and no. *
Postal code *
Town *
Telephone (home)
Telephone (mobile) *
Are you a Test-Achats member? *
If yes, what is your membership number?
Are you already a VDV CONSEIL client?

SAVINGS FEATURES

Applicant

Monthly income *
Net or Brut ?
Number of dependent children *
Amount of first payment *
If other amount :
Frequency of payments *
Would you like automatic indexation following the tax scale? *

Spouse or co-applicant

Monthly income
Net or Brut ?
Number of dependent children
Amount of first payment
If other amount :
Frequency of payments
Would you like automatic indexation following the tax scale?

Comments regarding the desired investment:

This information is given on a confidential basis; you may however authorise us to use your e-mail address to be kept informed on developments and promotions at VDV Conseil.

Receive our news? * [radio* news id:news "No, I do not want to receive your news." "Yes, I would like to receive your news. "]