Salutation* Mr Ms
First name*
Surname*
Address*
Address addition
ZIP*
Place*
Country* Switzerland
Email*
Phone*
Place of birth*
Country of birth* Switzerland Afghanistan Egypt Åland Islands Albania Algeria American Samoa U.S. Virgin Islands U.S. Outlying Islands Andorra Angola Anguilla Antarctica Antigua & Barbuda Equatorial Guinea Argentina Armenia Aruba Ascension Island Azerbaijan Ethiopia Australia Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Caribbean Netherlands Bosnia & Herzegovina Botswana Brazil British Virgin Islands British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Ceuta & Melilla Chile China Cook Islands Costa Rica Côte d’Ivoire Curaçao Denmark Germany Diego Garcia Dominica Dominican Republic Djibouti Ecuador El Salvador Eritrea Estonia Eurozone Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland United Kingdom Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Iraq Iran Ireland Iceland Isle of Man Israel Italy Jamaica Japan Yemen Jersey Jordan Cayman Islands Cambodia Cameroon Canada Canary Islands Cape Verde Kazakhstan Qatar Kenya Kyrgyzstan Kiribati Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Kosovo Croatia Cuba Kuwait Laos Lesotho Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Morocco Marshall Islands Martinique Mauritania Mauritius Mayotte Macedonia Mexico Micronesia Monaco Mongolia Montenegro Montserrat Mozambique Myanmar (Burma) Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Niger Nigeria Niue North Korea Northern Mariana Islands Norfolk Island Norway Oman Austria Timor-Leste Pakistan Palestinian Territories Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Moldova Réunion Rwanda Romania Russia Solomon Islands Zambia Samoa San Marino São Tomé & Príncipe Saudi Arabia Sweden Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Somalia Macau SAR China Hong Kong SAR China Spain Svalbard & Jan Mayen Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines South Africa Sudan South Georgia & South Sandwich Islands South Korea South Sudan Suriname Swaziland Syria Tajikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Chad Czechia Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine Hungary Uruguay Uzbekistan Vanuatu Vatican City Venezuela United Arab Emirates United States United Nations Vietnam Wallis & Futuna Christmas Island Belarus Western Sahara Central African Republic Zimbabwe Cyprus
Marital Status* single married widowed in partnership
Nationality* Switzerland Afghanistan Egypt Åland Islands Albania Algeria American Samoa U.S. Virgin Islands U.S. Outlying Islands Andorra Angola Anguilla Antarctica Antigua & Barbuda Equatorial Guinea Argentina Armenia Aruba Ascension Island Azerbaijan Ethiopia Australia Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Caribbean Netherlands Bosnia & Herzegovina Botswana Brazil British Virgin Islands British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Ceuta & Melilla Chile China Cook Islands Costa Rica Côte d’Ivoire Curaçao Denmark Germany Diego Garcia Dominica Dominican Republic Djibouti Ecuador El Salvador Eritrea Estonia Eurozone Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland United Kingdom Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Iraq Iran Ireland Iceland Isle of Man Israel Italy Jamaica Japan Yemen Jersey Jordan Cayman Islands Cambodia Cameroon Canada Canary Islands Cape Verde Kazakhstan Qatar Kenya Kyrgyzstan Kiribati Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Kosovo Croatia Cuba Kuwait Laos Lesotho Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Morocco Marshall Islands Martinique Mauritania Mauritius Mayotte Macedonia Mexico Micronesia Monaco Mongolia Montenegro Montserrat Mozambique Myanmar (Burma) Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Niger Nigeria Niue North Korea Northern Mariana Islands Norfolk Island Norway Oman Austria Timor-Leste Pakistan Palestinian Territories Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Moldova Réunion Rwanda Romania Russia Solomon Islands Zambia Samoa San Marino São Tomé & Príncipe Saudi Arabia Sweden Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Somalia Macau SAR China Hong Kong SAR China Spain Svalbard & Jan Mayen Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines South Africa Sudan South Georgia & South Sandwich Islands South Korea South Sudan Suriname Swaziland Syria Tajikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Chad Czechia Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine Hungary Uruguay Uzbekistan Vanuatu Vatican City Venezuela United Arab Emirates United States United Nations Vietnam Wallis & Futuna Christmas Island Belarus Western Sahara Central African Republic Zimbabwe Cyprus
Other nationality None Switzerland Afghanistan Egypt Åland Islands Albania Algeria American Samoa U.S. Virgin Islands U.S. Outlying Islands Andorra Angola Anguilla Antarctica Antigua & Barbuda Equatorial Guinea Argentina Armenia Aruba Ascension Island Azerbaijan Ethiopia Australia Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Caribbean Netherlands Bosnia & Herzegovina Botswana Brazil British Virgin Islands British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Ceuta & Melilla Chile China Cook Islands Costa Rica Côte d’Ivoire Curaçao Denmark Germany Diego Garcia Dominica Dominican Republic Djibouti Ecuador El Salvador Eritrea Estonia Eurozone Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland United Kingdom Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Iraq Iran Ireland Iceland Isle of Man Israel Italy Jamaica Japan Yemen Jersey Jordan Cayman Islands Cambodia Cameroon Canada Canary Islands Cape Verde Kazakhstan Qatar Kenya Kyrgyzstan Kiribati Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Kosovo Croatia Cuba Kuwait Laos Lesotho Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Morocco Marshall Islands Martinique Mauritania Mauritius Mayotte Macedonia Mexico Micronesia Monaco Mongolia Montenegro Montserrat Mozambique Myanmar (Burma) Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Niger Nigeria Niue North Korea Northern Mariana Islands Norfolk Island Norway Oman Austria Timor-Leste Pakistan Palestinian Territories Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Moldova Réunion Rwanda Romania Russia Solomon Islands Zambia Samoa San Marino São Tomé & Príncipe Saudi Arabia Sweden Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Somalia Macau SAR China Hong Kong SAR China Spain Svalbard & Jan Mayen Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines South Africa Sudan South Georgia & South Sandwich Islands South Korea South Sudan Suriname Swaziland Syria Tajikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Chad Czechia Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine Hungary Uruguay Uzbekistan Vanuatu Vatican City Venezuela United Arab Emirates United States United Nations Vietnam Wallis & Futuna Christmas Island Belarus Western Sahara Central African Republic Zimbabwe Cyprus
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Identification document* Identity card (ID) Passport Swiss driving licence Identity document (B or C) for foreign nationals
Identification number*