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000 0716106 001 10- 2010 Ort und Datum Monat / Jahr Ja Haben Sie bei einem oder mehreren Arbeitgebern gearbeitet Falls ja vom bis Arbeitgeber vom bis Nein Arbeitgeber bitte Bescheinigung en ber Zwischenverdienst und Lohnabrechnung en beilegen Haben Sie eine selbstst ndige Erwerbst tigkeit ausge bt bis bitte Belege/Abrechnungen beilegen Haben Sie an einer arbeitsmarktlichen Massnahme teilgenommen Bsp. Kurs Besch ftigungsprogramm Praktikum Waren Sie arbeitsunf hig an Meldung am Wegen Krankheit...

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