Personal questionnaire
Were the name, address, date of birth and AHV number correct?
[] 1 Yes
[] 2 No (Please enter only the incorrect details):
First name: ____
Family name: ____
Street: ____
No.: _ _ _ _
PC: _ _ _ _
Town: ____
Date of birth: _ _. _ _. _ _ _ _ (dd.mm.yyyy)
AHV_Nr.: 756. _ _ _ _. _ _ _ _. _ _