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Application to add insurance periods

This procedure is used to add insurance periods.

Please take note of the explanations in the information sheet

Personal information of the applicant

Title (preceding)

First name*

Last name*

Title (postpositioned)

Former name (1)

Former name (2)

Former name (3)

Gender*

Social security number*

Date of birth (DD.MM.YYYY)*

Place of birth*

Country of birth*

seit*

Nationality*

since

Country*

Street*

House number*

Stairway

Floor / Door

Postcode*

Town*

Telephone incl. area code

If you change your address - even if only temporarily, we ask you to inform us immediately.

(FORMGEN_FORMSERVER / 1.0.11) 2026-04-19 13:04:29.038