content_image/770729.jpg
Done at ..... on ..... In 3 original copies 

<img src='content_image/770729.jpg'>

(text modified on 1.06.06; 1.07.11). 

## Model for the first page for the “contract for a SELFEMPLOYED rider” 

2.16.053 Contract for a SELF-EMPLOYED rider bis 

Rider: Paying Agent: Contract in force from to Monthly contractual remuneration: Deductions made by the paying agent: 

Bank details of the account on which the sums due by the team shall be transferred: 

Taxes: VAT: Social Security: Other: 

Effective monthly net remuneration: 

The rider is required to issue invoices: 

If so: 

Legal obligations of the rider in the country of the paying agent: 

1. VAT: no/yes: amount: 

2. Taxes: no/yes 

3. Social security: no/yes 

(text modified on 1.06.06; 1.04.11; 1.07.11). 

- total to be invoiced monthly ex VAT 

- total VAT to be invoiced 

- total sum payable 

YES 

NO 

