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Application Form for a Personalized Visitor Card (Including Staff Members of the University Medical Center, Doctoral Candidates, and Others)

Please fill out the application form using the computer or print it out and add the information in capital letters. Please enclose a sharp passport-size photo and write your name on the back side of it. A personalized visitor card costs 10 euros. Please pay the amount via payment authorization or in cash at the Financial Transactions Office. Please note the following points when filling out the form if you are a visitor affiliated with the university: 2. (booking location) the booking location you are affiliated with; it will be charged with the cost of your card. Cost type – 608 10. 3. (authorized recipient) university administration; please do not fill in the bank information. 7. (reason for payment) Please fill in with Kap 1410, Titel 11969, BA 2459, and "Personalisierte Gastkarte". Please note the following points when filling out the form if you are not affiliated with the university (Medical Center): 2. (booking location) the booking location you are affiliated with; it will be charged with the cost of your card. Cost type – 608 10 3. (authorized recipient) university administration, Kto-Nr. 74 38 500 955 BLZ 600 501 01 BW-Bank Freiburg 7. (reason for payment) Personalisierte Gastkarte / BA 2459 The university administration can only process personalized visitor cards applications forms can only be processed, if the applicant submits the application for payment authorization (UK1) or a receipt from the Financial Transactions Office together with the application form.

AntragPersonalisierteGastkarte.pdf — PDF document, 721Kb

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