Spital Davos AG

First name: * As written in yor ID / travel document

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Surname: * As written in yor ID / travel document

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Birthdate: *

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Gender: *

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Male

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Telephone: *

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Email Address: *

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SWISS COVID App Transfer Code (optional):

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Passport Number (optional):

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Nationality (optional):

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Country: *

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Street Address: *

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Postal Code: *

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Town: *

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Registration