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[id] => 54
[user_id] => 71
[name] => Particulierformulier expat
[date_added] => 2007-10-24 14:07:39
[template] =>
[successmessage] => 7927
[type] => 1
[submitgroup] => 13
[success] => Array
(
[1] => Bedankt voor uw aanvraag, wij zullen zo snel mogelijk contact met u opnemen.
[2] => Thank you for your request, we will contact you soon.
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
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(
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[header] =>
[subject] => Aanvraag particuliere expat
[from] => ISEP
[fromemail] => info@isep.nl
[toemail2] => Paulus.Fleskens@telenet.be
[toemail] => info@isep.nl
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[1] => Naam
[2] => Name
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[1] => Geboortedatum
[2] => Date of birth
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[5] =>
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[1] => Aanhef
[2] => Gender
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[4] =>
[5] =>
[6] =>
[7] =>
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[9] =>
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[selectbox] => Array
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[0] => Dhr.
[1] => Mevr.
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[type] => textfield
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[1] => Adres
[2] => Address
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[5] =>
[6] =>
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[type] => postcode
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[1] => Postcode
[2] => Postal code
[3] =>
[4] =>
[5] =>
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[7] =>
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[1] => Woonplaats
[2] => Town
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[9] =>
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[type] => textfield
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[1] => Skype naam
[2] =>
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
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[7] => Array
(
[form_id] => 54
[c_name_id] => 7932
[type] => phone
[obligated] => 1
[order] => 7
[className] =>
[name] => Array
(
[1] => Telefoonnummer
[2] => Phonenumber
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
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[8] => Array
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[type] => email
[obligated] => 1
[order] => 8
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[1] => Email Adres
[2] => Email Address
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
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[order] => 9
[className] =>
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[1] => Land waar u gaat werken
[2] => Country where you'r going to work
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
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[type] => textfield
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[className] =>
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[1] => Uw vaderland
[2] => Home country
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
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[type] => textarea
[obligated] => 1
[order] => 11
[className] =>
[name] => Array
(
[1] => Wat worden daar uw werkzaamheden?
[2] => Short discription of work
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
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[12] => Array
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[type] => textarea
[obligated] => 0
[order] => 12
[className] =>
[name] => Array
(
[1] => Specifieke vraag?
[2] => Other questions
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
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[type] => textfield
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[order] => 13
[className] =>
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[1] => Voorletters gezinslid 1 + geboortedatum
[2] => initial familymember 1 + date of birth
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[4] =>
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[6] =>
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[6] =>
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[8] =>
[9] =>
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[type] => textfield
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[2] => initial familymember 3 + date of birth
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[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
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[16] => Array
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[type] => textfield
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[order] => 16
[className] =>
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[1] => Voorletters gezinslid 4 + geboortedatum
[2] => initial familymember 4 + date of birth
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
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[17] => Array
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[type] => textfield
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[className] =>
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[1] => Voorletters gezinslid 5 + geboortedatum
[2] => initial familymember5 + date of birth
[3] =>
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[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
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[18] => Array
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[type] => title
[obligated] => 0
[order] => 18
[className] =>
[name] => Array
(
[1] => Ik ben ook geinteresseerd in de volgende verzekeringen:
[2] => I am also interested in receiving more information about the following insurances:
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
)
[19] => Array
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[type] => checkboxoff
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[order] => 19
[className] => caution_error
[name] => Array
(
[1] => Arbeidsongeschiktheid
[2] => Disability
[3] =>
[4] =>
[5] =>
[6] =>
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[8] =>
[9] =>
[10] =>
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[12] =>
)
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[20] => Array
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[type] => checkboxoff
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[order] => 20
[className] =>
[name] => Array
(
[1] => Doorlopende reisverzekering
[2] => Continuous travel
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
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[12] =>
)
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[form_id] => 54
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[type] => checkboxoff
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[className] =>
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(
[1] => Opstal- en inboedelverzekering
[2] => Property and Household
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
[show_info] => 1
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[22] => Array
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[type] => checkboxoff
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[className] =>
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(
[1] => Persoonlijk ongevallenverzekering
[2] => Personal Accident
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
)
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[type] => checkboxoff
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[order] => 23
[className] =>
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(
[1] => Overlijdensverzekering
[2] => Term Life Cover
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
)
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[form_id] => 54
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[type] => checkboxoff
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[order] => 24
[className] =>
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(
[1] => Pensioenverzekering
[2] => Pension
[3] =>
[4] =>
[5] =>
[6] =>
[7] =>
[8] =>
[9] =>
[10] =>
[11] =>
[12] =>
)
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[abbreviation] => NL
[name] => Nederlands
[own_language] => Nederlands
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