Formular

The fields marked with an asterisk (*) are mandatory.

Please check again your details for correctness and completeness and then click on the submit button

Personal data

Salutation:
First name: TestVorname
Name: TestNachname
E-mail address: TestEmail@xyzanonym.wert
Date of birth:
Pension insurance number: 29020549W003
Country:
Postal code:
City:
Street:
No.:
Address addition:
Phone (mobile): +49151123456789
Insurance status:

Employment data

What kind of employment is it?:
Is the employment performed after the beginning and before the end of the study?: No
Is the employment limited from the outset?: No
Employment from:
Employment to: unlimited
Regular weekly working hours:
Which contractually agreed weekdays are being worked on?:
Contractual monthly gross salary according to contract (including regular extra payments ...): 0 €

Study Status data

Further information

Have further employments been carried out in the past 12 months?:
I am employed or self-employed as well: No
I am / have been registered as a job seeker during the last 12 month at the employment agency and / or have received services from the employment agency or citizien´s income: No