Family name*

Enter the family name in Latin script, as in your passport

Given name*

Enter the given name in Latin script, as in your passport

Previous family names

For example, the maiden name (optional)

Date of birth*

Format: DD.MM.YYYY

Country of birth*

In German — for example, Ukraine

City of birth*

In Latin script — for example, Kyiv

Citizenship*

In German — for example, Ukraine

Since when*

Format: DD.MM.YYYY

Second citizenship

Optional

Since when (2)

Optional

GZ number of the Vertriebenenausweis*

Check the back of your displaced-persons ID — there you will find the GZ field

Social security number (SV-Nr.)*

Printed on the e-card. Format: XXXX DDMMYY

Street, building number, apartment*

For example: Fleischmarkt 14/5

Postal code*

4 digits — for example, 1010

City*

In Latin script — for example, Wien

Phone*

For example: +43 664 1234567

Fill out the application — receive the ready form

My data