Personnel Questionnaire

Employee name Personnel number

(will be filled out from HR)

Personal data:

Surname (maiden name if applicable) Given name

Street and house no. incl. additional information Postcode, city

Date of birth Place of birth

Citizenship Marital status

Health insurance Social insurance number

Bank details:

Name of Bank Account number (IBAN)

Sort code / Bank ID (BIC)

Taxes:

Tax identification no. Tax class / factor

Allowances on the income tax card church tax

Employment:

Date of entry Position

Working hours per week Salary agreement

Do you have another job? If yes

[ ] yes [ ] no Scope: ___ hours per month
Company name:
Position:

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 Personnel Questionnaire

I hereby confirm the accuracy of the above information and the content of the application documents
submitted by me. I am aware that deliberately answering individual questions incorrectly or
incompletely may entitle the company to contest the employment contract on the grounds of
fraudulent misrepresentation, or may give rise to claims for damages.

______________________ ________________________
Place, Date Signature

Please keep in mind to inform us about any changes IMMEDIATELY!

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