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First Name *

Last Name *

Date of Birth*

Country where you LIVE *

Country where you WORK *

Canton where you LIVE *

Canton where you WORK *

Marital status *

If married, is your spouse working?

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Number of dependent children up to
12 years*

Number of dependent children from 12 to 25 years and in full time education*

Nationality*

Do you have a Swiss permit?*

Permit typeTo select your permit type you must have a Swiss permit

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Rate excl. VAT*

Salary type*

Currency*

Work schedule*

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Phone number*

Email*

How you heard about us?

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