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1. APPLICANT 1/4

Surname

Name

Birth date

Gender

Female Male Undefined

Street (office address, if applicable)

Place

Postcode

Telephone

Bank name

Account/ IBAN - International Bank Account Number

Clearing/BIC/SWIFT number - Business Identifier Code

Bank account holder (if different than applicant)

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If all entries are complete, you will see an overview of your data on the following page. If entries are missing, the form will remain open and the respective fields will be indicated.
Please click “Next” at the bottom of the following page to submit your entries.
You will then receive a confirmation with your entries via e-mail.

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