app.smartsheet.com
Open in
urlscan Pro
54.175.121.52
Public Scan
URL:
https://app.smartsheet.com/b/form/604e25c13b5e4be0929eaf4b613a7076
Submission: On July 08 via manual from FR — Scanned from FR
Submission: On July 08 via manual from FR — Scanned from FR
Form analysis 1 forms found in the DOM
<form>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Personal data" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_Personal data" class="css-1ogntkt e1vg1njp1">Personal data</h2>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Surname" data-client-type="text" id="7wzEok3P2" class="css-1e3khfm ef83ajd0"><label for="text_box_Surname" data-client-id="label_Surname" class="css-1xl1v40 ekxsfat0">Surname<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Surname" data-testid="text_box_Surname" data-client-id="text_box_Surname" data-client-type="" name="7wzEok3P2" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Given name" data-client-type="text" id="KypNz1jJR" class="css-1e3khfm ef83ajd0"><label for="text_box_Given name" data-client-id="label_Given name" class="css-1xl1v40 ekxsfat0">Given name<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Given name" data-testid="text_box_Given name" data-client-id="text_box_Given name" data-client-type="" name="KypNz1jJR" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Street" data-client-type="text" id="yZjNEkv3O" class="css-1e3khfm ef83ajd0"><label for="text_box_Street" data-client-id="label_Street" class="css-1xl1v40 ekxsfat0">Street<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Street" data-testid="text_box_Street" data-client-id="text_box_Street" data-client-type="" name="yZjNEkv3O" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Housenumber" data-client-type="text" id="QD0G1lvJv" class="css-1e3khfm ef83ajd0"><label for="text_box_Housenumber" data-client-id="label_Housenumber" class="css-1xl1v40 ekxsfat0">Housenumber<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Housenumber" data-testid="text_box_Housenumber" data-client-id="text_box_Housenumber" data-client-type="" name="QD0G1lvJv" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Post code" data-client-type="text" id="80zqgkaov" class="css-1e3khfm ef83ajd0"><label for="text_box_Post code" data-client-id="label_Post code" class="css-1xl1v40 ekxsfat0">Post code<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Post code" data-testid="text_box_Post code" data-client-id="text_box_Post code" data-client-type="" name="80zqgkaov" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_City / Country" data-client-type="text" id="jXk3zE6Qz" class="css-1e3khfm ef83ajd0"><label for="text_box_City / Country" data-client-id="label_City / Country" class="css-1xl1v40 ekxsfat0">City / Country<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_City / Country" data-testid="text_box_City / Country" data-client-id="text_box_City / Country" data-client-type="" name="jXk3zE6Qz" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Marital status" data-client-type="dropdown" id="lXkPwR7jm" class="css-u3yn36 ef83ajd0"><label for="select_input_Marital status" id="cf9c58d8-86c7-4435-a6b1-bbb785030bd4"
data-client-id="label_Marital status" class="css-1xl1v40 ekxsfat0">Marital status<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Marital status" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="cf9c58d8-86c7-4435-a6b1-bbb785030bd4" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Nationality" data-client-type="text" id="bEdN7jXJE" class="css-1e3khfm ef83ajd0"><label for="text_box_Nationality" data-client-id="label_Nationality" class="css-1xl1v40 ekxsfat0">Nationality<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Nationality" data-testid="text_box_Nationality" data-client-id="text_box_Nationality" data-client-type="" name="bEdN7jXJE" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Phone number" data-client-type="text" id="ep2EqD9JO" class="css-1e3khfm ef83ajd0"><label for="text_box_Phone number" data-client-id="label_Phone number" class="css-1xl1v40 ekxsfat0">Phone number</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Phone number" data-testid="text_box_Phone number" data-client-id="text_box_Phone number" data-client-type="" name="ep2EqD9JO" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_banking information" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_banking information" class="css-1ogntkt e1vg1njp1">banking information</h2>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_IBAN (22 digits)" data-client-type="text" id="D0vQJowYL" class="css-1e3khfm ef83ajd0"><label for="text_box_IBAN (22 digits)" data-client-id="label_IBAN (22 digits)" class="css-1xl1v40 ekxsfat0">IBAN (22 digits)<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_IBAN (22 digits)" data-testid="text_box_IBAN (22 digits)" data-client-id="text_box_IBAN (22 digits)" data-client-type="" name="D0vQJowYL"
maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_BIC" data-client-type="text" id="Ol1q5897k" class="css-1e3khfm ef83ajd0"><label for="text_box_BIC" data-client-id="label_BIC" class="css-1xl1v40 ekxsfat0">BIC<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_BIC" data-testid="text_box_BIC" data-client-id="text_box_BIC" data-client-type="" name="Ol1q5897k" maxlength="4000" class="css-1p0590h e1407lhe0"
value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_SWIFT-Code (non EU Bank)" data-client-type="text" id="NjzE0QLJP" class="css-1e3khfm ef83ajd0"><label for="text_box_SWIFT-Code (non EU Bank)" data-client-id="label_SWIFT-Code (non EU Bank)"
class="css-1xl1v40 ekxsfat0">SWIFT-Code (non EU Bank)</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_SWIFT-Code (non EU Bank)" data-testid="text_box_SWIFT-Code (non EU Bank)" data-client-id="text_box_SWIFT-Code (non EU Bank)" data-client-type=""
name="NjzE0QLJP" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Employment at Delivery Hero or its Subsidaries" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_Employment at Delivery Hero or its Subsidaries" class="css-1ogntkt e1vg1njp1">Employment at Delivery Hero or its Subsidaries</h2>
</div>
<p data-client-id="subheading_Employment at Delivery Hero or its Subsidaries" class="css-1ey0zoe e1vg1njp2"></p>
<p>Please list all DH entities during your vesting period: "Name Entity" from (dd/mm/yyyy) until (dd/mm/yyyy); ...</p>
<p></p>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Employment at DH" data-client-type="text" id="M8pM5y1Jz" class="css-1e3khfm ef83ajd0"><label for="textarea_Employment at DH" data-client-id="label_Employment at DH" class="css-1xl1v40 ekxsfat0">Employment at DH<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div id="description_Employment_at_DH" class="rich-text-field-desc">
<p>e.g. Delivery Hero Austria GmbH from 01/02/2017 until 31/12/2019; Delivery Hero SE from (01/01/2020) until (31/12/2021)</p>
</div><textarea aria-invalid="false" aria-describedby="description_Employment_at_DH" tabindex="0" name="M8pM5y1Jz" id="textarea_Employment at DH" data-client-id="textarea_Employment at DH" maxlength="4000" rows="7"
class="css-1lh64kx e1407lhe1"></textarea>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Payroll info" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_Payroll info" class="css-1ogntkt e1vg1njp1">Payroll info</h2>
</div>
<p data-client-id="subheading_Payroll info" class="css-1ey0zoe e1vg1njp2"></p>
<p>[NOTE: Effective month is May 2024]</p>
<p></p>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_tax class / Factor" data-client-type="dropdown" id="EPp80z6wa" class="css-u3yn36 ef83ajd0"><label for="select_input_tax class / Factor" id="317d14e0-0123-402a-8cde-892c995b7478"
data-client-id="label_tax class / Factor" class="css-1xl1v40 ekxsfat0">tax class / Factor<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_tax class / Factor" spellcheck="false" tabindex="0" type="text" aria-label="Select"
aria-labelledby="317d14e0-0123-402a-8cde-892c995b7478" value="" style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Child relief" data-client-type="text" id="q8zyovZN9" class="css-1e3khfm ef83ajd0"><label for="text_box_Child relief" data-client-id="label_Child relief" class="css-1xl1v40 ekxsfat0">Child relief</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Child relief" data-testid="text_box_Child relief" data-client-id="text_box_Child relief" data-client-type="" name="q8zyovZN9" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Confession" data-client-type="text" id="ROp6nbMJp" class="css-1e3khfm ef83ajd0"><label for="text_box_Confession" data-client-id="label_Confession" class="css-1xl1v40 ekxsfat0">Confession</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Confession" data-testid="text_box_Confession" data-client-id="text_box_Confession" data-client-type="" name="ROp6nbMJp" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Parenthood" data-client-type="dropdown" id="GYwleo1Jo" class="css-u3yn36 ef83ajd0"><label for="select_input_Parenthood" id="5fa73e30-d55c-441e-b7d2-8fb26eaf885d"
data-client-id="label_Parenthood" class="css-1xl1v40 ekxsfat0">Parenthood<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Parenthood" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="5fa73e30-d55c-441e-b7d2-8fb26eaf885d" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_German Statutory" data-client-type="text" id="6wzM6XLaG" class="css-1e3khfm ef83ajd0"><label for="text_box_German Statutory" data-client-id="label_German Statutory" class="css-1xl1v40 ekxsfat0">German Statutory<span
data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div id="description_German_Statutory" class="rich-text-field-desc">
<p>health insurance, obligatory (name)</p>
</div>
<div style="display: flex;"><input title="" aria-invalid="false" aria-describedby="description_German_Statutory" tabindex="0" id="text_box_German Statutory" data-testid="text_box_German Statutory" data-client-id="text_box_German Statutory"
data-client-type="" name="6wzM6XLaG" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_limited income tax liability" data-client-type="dropdown" id="31zOvk7GP" class="css-u3yn36 ef83ajd0"><label for="select_input_limited income tax liability"
id="edbcedbc-bed4-45bc-81c4-324cfd8835b1" data-client-id="label_limited income tax liability" class="css-1xl1v40 ekxsfat0">limited income tax liability<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_limited income tax liability" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="edbcedbc-bed4-45bc-81c4-324cfd8835b1" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
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</g>
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</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Information regarding CURRENT employment(s)" data-client-type="heading" class="css-1e2fy0l e1vg1njp0">
<div class="css-336d07 e13qqj0j0">
<h2 data-client-id="heading_Information regarding CURRENT employment(s)" class="css-1ogntkt e1vg1njp1">Information regarding CURRENT employment(s)</h2>
</div>
<p data-client-id="subheading_Information regarding CURRENT employment(s)" class="css-1ey0zoe e1vg1njp2"></p>
<p>[NOTE: Effective month is May 2024]</p>
<p></p>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Do you carry out any other jobs at the moment?" data-client-type="dropdown" id="aKdOn86JR" class="css-u3yn36 ef83ajd0"><label
for="select_input_Do you carry out any other jobs at the moment?" id="b7cf4db6-5a1a-48ac-bd76-6cab2d5985e6" data-client-id="label_Do you carry out any other jobs at the moment?" class="css-1xl1v40 ekxsfat0">Do you carry out any other jobs at
the moment?<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Do you carry out any other jobs at the moment?" spellcheck="false" tabindex="0"
type="text" aria-label="Select or enter value" aria-labelledby="b7cf4db6-5a1a-48ac-bd76-6cab2d5985e6" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-tkslta e1tmc1mx0">
<div role="application" title="" data-client-id="container_Is it considered as a low income employment?" data-client-type="dropdown" id="PbpRWjAJr" class="css-u3yn36 ef83ajd0"><label for="select_input_Is it considered as a low income employment?"
id="38c30d83-91ce-442b-b04d-7b08bff59429" data-client-id="label_Is it considered as a low income employment?" class="css-1xl1v40 ekxsfat0">Is it considered as a low income employment?<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Is it considered as a low income employment?" spellcheck="false" tabindex="-1"
type="text" aria-label="Select or enter value" aria-labelledby="38c30d83-91ce-442b-b04d-7b08bff59429" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
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</div>
<div class="css-tkslta e1tmc1mx0">
<div role="application" title="" data-client-id="container_activity" data-client-type="dropdown" id="oykd53RDd" class="css-u3yn36 ef83ajd0"><label for="select_input_activity" id="985532f5-bfec-4260-8ce6-dead2835dfbb"
data-client-id="label_activity" class="css-1xl1v40 ekxsfat0">activity<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div class="rich-text-field-desc css-1q4upac" id="description_select_input_activity">
<p>Is it considerer as a main activity or a secondary?</p>
</div>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_activity" spellcheck="false" tabindex="-1" type="text" aria-label="Select or enter value"
aria-labelledby="985532f5-bfec-4260-8ce6-dead2835dfbb" value="" aria-describedby="description_select_input_activity"
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Previous taxable employments" data-client-type="text" id="5wzegkW3X" class="css-1e3khfm ef83ajd0"><label for="textarea_Previous taxable employments" data-client-id="label_Previous taxable employments"
class="css-1xl1v40 ekxsfat0">Previous taxable employments</label>
<div id="description_Previous_taxable_employments" class="rich-text-field-desc">
<p>Details of previous employments (incl. the current calender year). Please enter like this: From: / Until: / Type of employment (employee, freelancer etc.)</p>
</div><textarea aria-invalid="false" aria-describedby="description_Previous_taxable_employments" tabindex="0" name="5wzegkW3X" id="textarea_Previous taxable employments" data-client-id="textarea_Previous taxable employments" maxlength="4000"
rows="4" class="css-1lh64kx e1407lhe1"></textarea>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Receiving payroll documents via E-Mail" data-client-type="dropdown" id="dqdMRb7rw" class="css-u3yn36 ef83ajd0"><label for="select_input_Receiving payroll documents via E-Mail"
id="eb5b2f85-d2b6-4b0d-98f5-c42aa9111931" data-client-id="label_Receiving payroll documents via E-Mail" class="css-1xl1v40 ekxsfat0">Receiving payroll documents via E-Mail<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div class="rich-text-field-desc css-1q4upac" id="description_select_input_Receiving_payroll_documents_via_E_Mail">
<p>After the payroll run we like to provide you with the payroll documents. In due to working from home, we are only able to send the payroll documents directly to you via email. Please note that sending documents online via email to you,
even with encryption, is not a secure way of transferring data. Please approve if you agree with it.</p>
<p><br></p>
<p>In case of any questions or missing payroll documents please reach out to payroll@deliveryhero.com.</p>
</div>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select or enter value</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Receiving payroll documents via E-Mail" spellcheck="false" tabindex="0" type="text"
aria-label="Select or enter value" aria-labelledby="eb5b2f85-d2b6-4b0d-98f5-c42aa9111931" value="" aria-describedby="description_select_input_Receiving_payroll_documents_via_E_Mail"
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="email_receipt_section">
<div data-client-id="container_email_receipt" data-client-type="divider" class="css-1e2fy0l e14sboee0">
<hr data-client-id="email_receipt" class="css-1xs1ymt e14sboee2">
</div>
<div class="css-1gl0c9l excyp8g0"><label class="css-1y93uaa excyp8g1"><input data-client-id="email_receipt_checkbox" name="EMAIL_RECEIPT_CHECKBOX" type="checkbox" class="css-1czgm8r excyp8g2" value="false"><span>Send me a copy of my
responses</span></label></div>
</div>
</div>
<div class="css-1ock8o4 e1xpzprc2"><button data-client-id="form_submit_btn" disabled="" type="submit" value="submit" class="css-oltpmt e1xpzprc0"><span>Submit</span></button></div>
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ESPP Questionnaire IMPORTANT NOTE: Solium only illustrates the highest applicable tax rate of the respective country. Please note that your final applicable taxes/social contributions in connection with the Delivery Hero SE ESPP process will be calculated based on the provided date below. Please be prudent and accurate. Thank you! PERSONAL DATA Surname* Given name* Street* Housenumber* Post code* City / Country* Marital status* Select or enter value Caret IconCaret symbol Nationality* Phone number BANKING INFORMATION IBAN (22 digits)* BIC* SWIFT-Code (non EU Bank) EMPLOYMENT AT DELIVERY HERO OR ITS SUBSIDARIES Please list all DH entities during your vesting period: "Name Entity" from (dd/mm/yyyy) until (dd/mm/yyyy); ... Employment at DH* e.g. Delivery Hero Austria GmbH from 01/02/2017 until 31/12/2019; Delivery Hero SE from (01/01/2020) until (31/12/2021) PAYROLL INFO [NOTE: Effective month is May 2024] tax class / Factor* Select Caret IconCaret symbol Child relief Confession Parenthood* Select or enter value Caret IconCaret symbol German Statutory* health insurance, obligatory (name) limited income tax liability* Select or enter value Caret IconCaret symbol INFORMATION REGARDING CURRENT EMPLOYMENT(S) [NOTE: Effective month is May 2024] Do you carry out any other jobs at the moment?* Select or enter value Caret IconCaret symbol Is it considered as a low income employment?* Select or enter value Caret IconCaret symbol activity* Is it considerer as a main activity or a secondary? Select or enter value Caret IconCaret symbol Previous taxable employments Details of previous employments (incl. the current calender year). Please enter like this: From: / Until: / Type of employment (employee, freelancer etc.) Receiving payroll documents via E-Mail* After the payroll run we like to provide you with the payroll documents. In due to working from home, we are only able to send the payroll documents directly to you via email. Please note that sending documents online via email to you, even with encryption, is not a secure way of transferring data. Please approve if you agree with it. In case of any questions or missing payroll documents please reach out to payroll@deliveryhero.com. Select or enter value Caret IconCaret symbol -------------------------------------------------------------------------------- Send me a copy of my responses Submit Powered by Smartsheet Modern Logo On Light Privacy Notice|Report Abuse