FB31_Selbstmelder Flüchtlinge Ukraine

Landratsamt Wunsiedel i. Fichtelgebirge

Personenstands- und Ausländerwesen

pik-registrierung@landkreis-wunsiedel.de

Sprache / Language / мову / язык

Self-declarations by war refugees from the Ukraine

A stay of up to 90 days is generally permitted. However, this notification enables the Wunsiedel district office to contact you if you need support and is a prerequisite for a stay of more than 90 days if you are not able to return by then.

Your personal information

first name*

last name*

date of birth*

place of birth*

nationality*

passport number*

Upload a copy of your passport

adress in the Ukraine*

e-mail*

phone number*

Have you already been registered at an arrival center / border crossing in Germany?*

yes

no

Name of the arrival center / border crossing*

Have you already been registered with the Red Cross Tracing Service? www.drk-suchdienst.de*

yes

no

Adress in district Wunsiedel

street, house number*

city*

Do you live with friends / family?*

yes

no

Please state the contact information of your friends / family.

last name, first name*

e-mail

phone number

Are other refugees living with you at this adress?*

yes

no

Did those people escape together with you?*

yes

no

Entry to Germany

date of entry into the European Union*

date of entry to Germany*

Please state the contact information of your fellow refugees:

last name*

first name*

date of birth*

place of birth*

nationality*

passport number*

Upload a copy of a passport

additional information (for example special need, disabled people, unaccompanied minors)

I agree to the storage and use of my data. You can read the data protection information here.*