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Full legal name (given names + surname) إلزامي Date of birth إلزامي التنسيق: يوم.شهر.سنة 🔒 تُخزَّن مشفّرة؛ وتُستخدم فقط لإنشاء مسودتك. Birth name (if different from current surname) اختياري Place of birth اختياري Country of birth اختياري Gender إلزامي Nationality / citizenship اختياري Residential address (street, postal code, city, country) إلزامي Phone number اختياري Pension insurance number (Rentenversicherungsnummer / RV-Nr.) إلزامي 12-character code in the format 12 010558 W 567. It appears on every DRV letter and on your Sozialversicherungsausweis. If unknown, the number can be looked up via your Steuer-ID. 🔒 تُخزَّن مشفّرة؛ وتُستخدم فقط لإنشاء مسودتك. Tax identification number (11 digits) إلزامي 🔒 تُخزَّن مشفّرة؛ وتُستخدم فقط لإنشاء مسودتك. Which pension type are you applying for? إلزامي Regelaltersrente is the default once you reach the standard retirement age (67 for cohort 1964 and later). Choose one of the early-retirement variants if you meet the corresponding waiting-period requirement. Full pension (Vollrente) or partial pension (Teilrente)? إلزامي Vollrente is 100% of your entitlement. With a Teilrente (e.g. 50%) you can keep working and earn more on top of your pension without it being reduced. Partial-pension percentage (10–99) اختياري Desired pension start (month and year) إلزامي The pension is paid from the month in which the entitlement requirements are first met. If you apply late, the pension can be backdated by up to three months. التنسيق: يوم.شهر.سنة Marital status إلزامي Is this application being filed by a legal guardian, custodian, supervisor, or authorised representative? اختياري Did you move to Germany from abroad? اختياري Date of move to Germany اختياري التنسيق: يوم.شهر.سنة Country you moved from اختياري Should the pension be paid to a bank account in Germany? اختياري Bank name اختياري Did you have periods of unemployment (with or without ALG payments)? اختياري Did you have caregiver periods for relatives? اختياري Did you have school or university education periods after age 17? اختياري Did you have insurance periods abroad? اختياري Did you have child-raising periods (Kindererziehungszeiten)? اختياري Number of children اختياري Are you already receiving another pension (e.g. survivor's pension, accident-insurance pension)? اختياري Are you currently receiving Arbeitslosengeld I (insurance-based unemployment benefit)? اختياري Are you currently receiving Krankengeld (sickness benefit)? اختياري Do you receive a company pension (Betriebsrente) or other Versorgungsbezüge? اختياري Name of your statutory health insurer (Krankenkasse, for KVdR) إلزامي Are you covered by the statutory health insurance (GKV)? اختياري Are you covered by private health insurance (PKV)? اختياري Has a severe disability (GdB ≥ 50) been formally established? اختياري 🔒 تُخزَّن مشفّرة؛ وتُستخدم فقط لإنشاء مسودتك. Degree of disability (Grad der Behinderung) اختياري 🔒 تُخزَّن مشفّرة؛ وتُستخدم فقط لإنشاء مسودتك. Did you have a workplace accident, commuting accident, or any other compensable injury? اختياري Date of the event اختياري التنسيق: يوم.شهر.سنة Do you prefer an accessible decision format? اختياري Place of signature اختياري Date of signature اختياري التنسيق: يوم.شهر.سنة

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