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New Customer Personal Information Form

Information about you

First name

Surname

E-mail

Address

Phone

Date of birth

Civil status as of December 31st

Change of marital status during the year?

Yes

No

Do you have any dependents?

Yes

No

The personal information collected is used solely for the purpose of preparing the tax return and is protected in accordance with applicable privacy laws.

Confidentiality and protection of personal information

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