1. PERSONAL INFORMATION
Employee:
Last Name:
First Name:
Job Title:
Address:
Street:
NO:
City:
ZIP:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Congo, Democratic Republic of the
Congo. Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guam
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nepal
Netherland Antilles
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norfolk Island
North Korea
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saudi Arabia
Senegal
Serbia
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna
West Bank
Yemen
Zambia
Zimbabwe
Spouse:
Last Name:
First Name:
Birth date:
Children:
Name:
Age:
Name:
Age:
Name:
Age:
Pets:
Dog:
Cat:
Other:
Contact Information:
Phone:
Mobile:
E-mail:
Work Permit required (Nationality/Passport):
Swiss nationality
B Work Permit
Valid through:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
C Work Permit
Valid through:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
No Work Permit
Start date at Biogen Idec:
Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2. PRIOR TO ARRIVAL
I require an orientation trip and would like to investigate:
Housing
Schooling
Surroundings and local infrastructure
Tax implementation
Other:
III. HOUSING
I would like to:
Rent
Max monthly rent:
CHF
Buy
Max purchase price:
CHF
Earliest start date for rent:
Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Type of housing:
House
Semi-Dettached house
Appartment
Other:
I need at least:
Rooms:
Sqm:
No. of Bathrooms:
No. of Floors:
Other housing requirements:
Terrace
Garage(s)
City center
Balcony
Lake view
Rural area
Garden
Mountain view
Other:
Preferred Location/City/Area:
1:
2:
3:
Other location requirements:
Close to railway station / public transport:
Close to school:
Type of school:
Int'l. (English)
Int'l. (French)
Local Swiss
Pre-school/Kindergarden
IV. MOVING
Moving agencies:
Please contact two of the following moving agencies plus one local moving agency to ask for a quate and provide these quotes to Expatco AG
A. Harch Transport - HH AG
Attention: Werner Ammann
+41 (0)79 302 72 59
werner.ammann@harsch.ch
B. Packimpex Ltd.
Lochackerstrasse 4
CH-8423 Embrach-Zürich
Switzerland
Phone: + 41 (0)44 866 87 89
Fax: +41 (0)44 866 87 89
Mobile: +41 (0)79 827 28 31
E-mail:
c.storni@packimpex.ch
http://www.packimpex.ch
C. Crown Relocations S.A.
Schaffhauserstrasse 55
CH-8152 Glattbrugg/Zürich
Phone +41 (0)44 454 4813
Fax: +41 (0)44 454 4808
Mobile: +41 (0)79 746 9873
E-mail:
p.stoehr@crownrelo.com
http://www.crownrelo.com
Preferred Moving Date:
Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
Storage needed:
Estimated sqm:
Other moving requirements:
Support to coordinate agencies
Other:
V. TEMPORARY HOUSING
Estimated time period:
From Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
To Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Pets:
Dog
Cat
Other:
Other special requirements:
Close to public transportation:
Parking/garage needed:
No. of Rooms:
Other:
VI. UPON ARRIVAL
I need a pick from the:
Airport In:
Railway In:
Arrival:
Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
Time:
Flight no./Train:
Im arriving with:
No. of persons:
No. of pets:
I need to go to:
Destination:
Zürich
Lucern
Zug
VII. OTHER REQUIREMENTS
A Nanny/Au Pair who speaks:
English
German
French
Other:
Preferred nationality:
German
English
French
Insurances:
Medical
Car insurance
Private liability
Other:
Other Requirements: