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Information asked by


JSIS member

Provider of medical treatment

Member of the family



 Choose a subject*

  

 

Personnel number of the JSIS member* 

  ?                                             

Name/first name of JSIS member* 

Coordinates of the JSIS member* 

 Street    
Number
Postal code
City
Country

Tel
Fax

Email of the JSIS member* 

  ?


Is the beneficiary a JSIS member? yes no

Name/first name of beneficiary* 

  

Coordinates of the beneficiary* 

 Street    
Number
Postal code
City
Country

Tel
Fax

 

Name/first name of message recipient*              

?                       

Name of the institution          

Email of message recipient* 

? 

Coordinates of the message recipient* 

 Street    
Number
Postal code
City
Country

Tel
Fax



  Your message*
 

 
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*Mandatory field


PMO CONTACT is reachable for Joint Sickness Insurance Scheme of European Institutions
beneficiaries every day of the week from 9 a.m. to 13 p.m.