Mercury Pension Plan: registration form

Thank you for your registration. We will contact you shortly.

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Please select the structure of your personal Pension Plan:

Employee contribution

Employer contribution

Premium in % of your basic salary: same as employee contribution

Start of insurance

Date: MM.YYYY

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Company entry date

Date: MM.YYYY

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Personal data

First name

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Last name

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Date of birth: DD.MM.YYYY

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Street, house number (important: residence in Germany)

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Postal code (important: residence in Germany)

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City (important: residence in Germany)

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I have a residence in Germany

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I am a „US-Person“ ***

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Phone number (incl. dialling code) or mobile phone number

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Please enter a valid phone number.

E-Mail

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E-Mail Bestätigung

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*) required

**) Only possible for durations over 10 years

***) US citizenship, also in the case of dual citizenship, so-called US citizen/primary residence/dual residence in the USA or presence in the USA of at least 183 days/holder of a permanent US residence and work permit, e.g. GreenCardHolder.

Note: By sending the declaration of participation, you agree that we may use your data to create the insurance policy and, if necessary, to contact you. You can object to the use of your data at any time and without giving reasons. An e-mail to widerspruch@allianzpp.com is sufficient for this. We will not use your data for any other purpose. You can find further information on data protection here.

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Ich akzeptiere die data privacy guidelines

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After sending your declaration of participation – this is how it goes:

You will receive documents on the Pension Plan from your employer.
Mercury will register you for the Pension Plan.
Mercury will provide you with the form for deferred compensation and pledge declaration. Please sign this and give back to Mercury.

Do you have any questions?

Your contact person will be happy to help you

TO YOUR CONTACT PERSONS