Personal Data Form

(Please complete in capital letters)

Family name
First name
Date of birth Nationality
Sex female male EU dress size shirt (e.g. !)
EU dress size trousers/skirt
E"mail
#ddress
$ode $ity $o%ntry
Phone n%mber &obile
&arital stat%s single married di'orced (ido(ed
since (date)
N%mber of children
National )ealth *ns%rance $ompany
Name of yo%r )ealth *ns%rance company ++ +++++++++++++++++++++++++++++++++++
E"mail address + +++++++++++++++++++++++++++++++++,el+ +++++++++++++++++++++++
Emergency address
Name - First name
#ddress
$ode $ity
Phone-mobile n%mber
.an/ acco%nt (every employee must have a personal bank account!)
#cco%nt holder
Name of ban/
.an/ address
$ode - $ity
S0*F,"$ode1
*.#N n%mber
*mportant1 it2s necessary to re3%est S(ift $ode and *.#N No. at yo%r ban/4
5 6i/ing $r%ises #7 89:;