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Income Support
Unemployment Support
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Nigeria
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Somalia
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Soviet Union
Spain
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St. Pierre And Miquelon
St. Thomas
Sudan
Suriname
Svalbard, Jan Mayen Islands
Sw Aziland
Sweden
Switzerland
Taiwan
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Thailand
the Bahamas
the Cayman Islands
the Czech Republic
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the Netherlands
the Philippines
the Republic of Belarus
the Republic of Serbia
the Russian Federation
the Slovak Republic
the Syrian Arab Republic
the United Arab Emirates
the United Kingdom
the United States
the United States of America
the Virgin Islands (British)
the Virgin Islands (U.S.)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United States Minor Is.
Unknown
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis And Futuna Islands
West Africa
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Country of citizenship
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curaҫao
Cyprus
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Guyana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Bretain
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Icel And
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea, Dem People'S Republic
Kuwait
Kyrgyzstan
Lao People'S Dem Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rwanda
Saba
Saint Barthelemy
Saint Kitts And Nevis
Saint Lucia
Saint Martin
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia and Montenegró
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia , S Sandwich Is.
Soviet Union
Spain
Sri Lanka
St. Croix
St. Eustatius
St. Helena
St. John
St. Pierre And Miquelon
St. Thomas
Sudan
Suriname
Svalbard, Jan Mayen Islands
Sw Aziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
the Bahamas
the Cayman Islands
the Czech Republic
the Dominican Republic
the Netherlands
the Philippines
the Republic of Belarus
the Republic of Serbia
the Russian Federation
the Slovak Republic
the Syrian Arab Republic
the United Arab Emirates
the United Kingdom
the United States
the United States of America
the Virgin Islands (British)
the Virgin Islands (U.S.)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United States Minor Is.
Unknown
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis And Futuna Islands
West Africa
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Home Address
Crib Number
Marital Status
Single
Married
Divorced
Widowed
Number of dependents
None
1
2
3
4
More
Profession
Taxi Driver
Bus Driver
Tour Bus Driver
Vendor
Sole Proprietor
Are you registered at the Chamber of Commerce?
Yes
No
CoC Number
Vending Permit Number
I have lost 20 % or more of my income due to Covid-19 and request Income Support of Naf. 1,150
Yes
No
Date Employed from
Employed until
Previously worked in industry
Administration
Hotel
Restaurant
Tour Operator
Child Care
Construction
Other
Are you the direct and/or sole source of income?
Yes
No
Bank Name
WIB
RBC
Republic Bank
CIBC / FCIB
PSB
I don�t have a bank account
Banco Caribe
Bank Account Number
Bank Account Currency
ANG
USD
St. Maarten Issued ID (Driver's License or Sint Maarten ID) or Dutch Passport* (no older than 6 months)
Upload your dismissal letter
Upload your last pay slip
Please upload your valid permit (taxi, bus, vending etc.), if applicable
Valid Chamber of Commerce excerpt, if applicable (no older than 6 months)
Copy of submitted and stamped 2020 Income Tax Return
I agree to voluntarily provide this information and have no objection to it being shared with relevant entities for the purpose of verification and compilation for anonymous statistical information. I agree that the information provided can be audited after the fact and that changes can be made to the income support based on the findings.
I hereby certify to have completed this registration truthfully and acknowledge that I can be held personally responsible.
Sign above
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