S14申请 | DDKonto

个人信息/Persönliche Angaben

*请按护照上填写

选择身份/Grund des Aufenthalts *

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CSC等博士/Doktoranden

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大于30周岁本、硕生/Älter als 30 Jahre

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性别/Anrede *

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男/Herr

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女/Frau

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其他信息/Sonstiges

如果需要递签，请选择拟入境日期 *

保险开始日期 *

保险所需时长（几个月？） *

Please check and confirm the following terms to finalize your application.

*

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I hereby affirm and certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits.

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*

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I want to receive news and advertisement from DDKonto by Email. I am aware that I can revoke my consent at any time.

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*

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I confirm that I authorize DDKonto to handle my Care Concept insurance.

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