Private customer Business customer

First name

Last name(s)

Street

Streetnumber

ZIP

City

Country

E-mail

repeat e-mail

Corona warning app *

No transfer of my test result to the Corona Warn app.

Consent to pseudonymized transfer (non-named display)
I hereby give my consent to the transmission of my test result and my pseudonymous code to the RKI server system so that I can retrieve my test result using the Corona Warning App. The test result in the app cannot be used as a named test record in this process.

Consent to personalized transmission (Named test evidence)
I hereby consent to the transmission of the test result and my pseudonymous code to the RKI server system so that I can retrieve my test result using the Corona Warning App. I also consent to the transmission of my name and date of birth to the app so that my test result can be displayed in the app as a named test record.

For details, please refer to the data protection notices.

Entitlement to free citizenship test according to TestVO

Hiermit versichere ich, dass für alle Testpersonen mindestens einer der nachfolgend aufgeführten Anspruchsgründe aus der TestVO vom 24.11.2022 zutreffend ist und bei Betreten der Teststelle entsprechende Nachweise nebst amtlichen Lichtbildausweis vorgelegt werden.

Participant

Note: please make sure that you enter the correct postal code and date of birth, as these are required for authentication when calling up the results.

Participant #1

Ticket

Participant is buyer.

Copy data from ticket buyers

First name

Last name(s)

E-mail

repeat e-mail

Phone number *

Date Of Birth *

Gender *

Street *

Streetnumber *

Postal code *

City *

Country *

Document number (identity card or passport) (optional)

Legal

I accept the terms of use.

Please also note the Privacy policy.

I accept the Declaration of consent to submit my test result and certificate.

I agree and expressly request that the execution of the ordered service be started before the end of the cancellation period. I am aware that I will lose my Right of withdrawal upon complete fulfillment of the contract (testing).

I accept the AGB der Kaus Verwaltungs GmbH.

Optional

Save my details for the next booking.

	Single price	Quantity	Total price
Schnelltest Dauerkarte	Single price: 0,00 Euro	Quantity:	0,00 Euro
Total cost:		0 Article	0,00 Euro
Booking fee: inclusive all service fee and transaction costs

:
Subtotal:
all prices are incl. VAT.

Ticket	price		Total price
Schnelltest Dauerkarte	x 0,00 Euro
discount:
Hardticket:Hard ticket + gift packaging: incl. printing and shipping
:
Booking fee: inclusive all service fee and transaction costs
Total including VAT:

Dauerkarte Testzentren

Ticket selection

Buyer

Entitlement to free citizenship test according to TestVO

Participant

Participant #1

Legal

Optional

Order overview

Payment method