© UEBERKOPF GmbHReproduction only with written permission of the author. Page 1 of 2

Application form for freelancers 0020FO04

Personal information

Short application letter

Contact details: First name: Gender:  w   m   t 

Last name:

Address:

Mobile number:

Email address:

Date of birth: Place of birth :

Nationality:

Marital status:

(Street, No.)

(Postcode) (Town/city)

(country if applicable)

Please include a copy of the following with your application

• Trade licence• Document „Certificate in tax matters“• Proof of liability insurance• Health insurance certificate• Accident insurance certificate• Proof of all certificates listed above• Driving licence (if available)• Work permit (if not EU citizen)

© UEBERKOPF GmbHReproduction only with written permission of the author. Page 2 of 2

0020FO04 | Application form for freelancers

Signature freelancer Date

Signing this form confirms the accuracy of all statements.

Please email the completed and signed application form, together with the required documents, to the contact person listed for your preferred location!

Hamburg: for the attention of Bianca Meincke Email: freelancer-hamburg@ueberkopf.deHanover: for the attention of Nadine Radon Email: freelancer-hannover@ueberkopf.deCologne: for the attention of Lena Kessler Email: freelancer-koeln@ueberkopf.deBerlin: for the attention of Anna-Maria Dähn Email: freelancer-berlin@ueberkopf.deFrankfurt: for the attention of Nadine Moreno Email: freelancer-frankfurt@ueberkopf.de

Training:

Trade:

Certificates:

Language skills:

Driving licence classes:    Own car:  yes       no  

Trade licence: yes       no  

Tax number:

Location/s

Which locations would you consider?

Hamburg       Hanover       Cologne       Berlin       Frankfurt  

Which location do you prefer?