Coracle - Public Health Insurance | Techniker Krankenkasse Insurance

Personal Information

First Name

Date of Birth

Country of Birth

Last Name

Place of Birth

Nationality

Email Address

Phone Number

Insurance Type

Current Insurance Type

Name of the Insurance

Admit details

Master

Bachelor

PhD candidate

University

Speciality

Semester Start

Semesters (I have already studied....)

Blocked Account

Do you have a German Blocked Account?

No Yes

Bank Name

IBAN

Account Number

Branch Code

Documents

Admit letter

Passport

Blocked account confirmation

Passport Size Photo

Passport No

Free Incoming Travel Insurance

I also apply for Incoming Travel Health Insurance to cover
the VISA requirements for German Student Visa.

Coracle
BONUS

Incoming Travel

Insurance is free

for our insurance

customers!

Intended date of travel (as filled in visa application)

Travel Insurance will cover you from this date till you enroll at your university, at the earliest, Semester Start

Premium ~~68 EUR~~ FREE!
(68 Euro welcome bonus in the form of free Travel Insurance for becoming Coracle’s insurance customer)

Comments

Sign here

I Understand that the 68 EUR bonus is a welcome bonus provided by Coracle for becoming Coracle’s insurance customer. By not being one, the Travel Health insurance will cost 68 EUR and I am obliged to pay via SEPA Mandate or other forms.

I agree with the issuance of a SEPA direct debit mandate for chosen Insurance Company.

I have read and understood the important information about Data Protection, Consumer Information and Coracle Broker Mandate and I hereby confirm that I give my full consent.

I applied without FREE Travel Health Insurance - see above.

German Public Health Insurance

Get it online together with free travel insurance!

Application for Public Health Insurance

Personal Information

Insurance Type

Admit details

Blocked Account

OR

Documents

Free Incoming Travel Insurance

Our Offer

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