CEU- register - Feelsafe

Personal Information
Gender*
- Male
- Female
First Name:*
Last Name:*
Street*
House Number:*

(e.g.: Mariahilferstrasse 100/6 --> 100 is the house number; 6 is the door number)
Door Number:*

(If you don't have your door number yet, please put "1")
City*
Postal Code:*
Citizenship*
Date of Birth*
DD slash MM slash YYYY
E-Mail Address:*

Please note: Please don't use a YAHOO e-mail address. For some reason our confirmation e-mails get blocked by their SPAM detector.
Optional: Your Phone number
I hereby confirm that I am a recent CEU Student / Faculty / Staff / Researcher*
- Yes
- No
How long you planning to study at CEU Vienna?*
- Less than 6 months
- More than 6 months
Start Date of Insurance Period:

Your insurance will start after your registration and earliest with the academic semester of CEU.
Please select an option:*
- Term 09/2022
- Term 01/2023
What is your estimated month of arrival in Austria?*

CEU Health Insurance Registration