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Surname

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sex

homme

femme

Date of birth

Nationality

Zip code

French address or Residence address

Phone number

Starting date

Name of emergency contact

Relation with emergency contact

Address of emergency contact

Email of emergency contact

Telephone of emergency contact

Sécurité Sociale Registration Status. You have

pas encore inscrit à la SS

inscrit à la Sécurité Sociale provisoirement

déjà inscrit à la SS

required documents　*

You have to upload 3 required documents.
And depending on your Sécurité sociale registration status, you have to also upload the certificate of Sécurité Sociale.
Note: PDF files and password-protected documents cannot be uploaded.

Un justificatif d’identité / Passport with photo page

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File format : JPG, PNG ( MAX15MB)

Un visa étudiant / Student VISA

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Admission letter or Certificate of registration(Acceptation d’inscription de l’université ou Attestation d’inscription pour l’année universitaire en cours)

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◆ Please upload the following document if you have already registered for Sécurité Sociale provisionally or full registration.

Provisional certificate of affiliation to health insurance or Social Security certificate or Carte Vitale(Attestation provisoire d’affiliation à l’assurances maladie ou Attestation de Sécurité sociale ou copie de Carte Vitale)

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Contact to

ASSETS Assurances

Please contact us for more information.

1-3 Rue Lulli 75002 Paris, France
Phone: +33 (0)1 53 79 05 75

http://www.assets.fr/

OPEN: Weekdays 9: 00-18: 00 (French time, GMT +1)

AI ETUDIANT subscription form

required documents *

You have to upload 3 required documents. And depending on your Sécurité sociale registration status, you have to also upload the certificate of Sécurité Sociale. Note: PDF files and password-protected documents cannot be uploaded.

◆ Please upload the following document if you have already registered for Sécurité Sociale provisionally or full registration.

Contact to

ASSETS Assurances

Please contact us for more information.

required documents　*

You have to upload 3 required documents.
And depending on your Sécurité sociale registration status, you have to also upload the certificate of Sécurité Sociale.
Note: PDF files and password-protected documents cannot be uploaded.