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Personnel questionnaire working student

First name

Street

Postcode

Marital status

nationality

phone number

social security number

IBAN

Last name

House number

Location

Place of birth

birth date

E-mail

tax ID

name of the bank

Name of Health insurance

health insurance number:

I certify the completeness and correctness of my information to the best of my knowledge.
I am aware that I am obliged to immediately report any change that occurs compared to the information in this personnel questionnaire.
I am aware that further minor employment is notifiable. In the event of incorrect information, the employee assumes liability towards the social security agency.

Signature

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