BRZI ANTIGENSKI TEST
ČEHI
RAPID ANTIGEN TEST / ANTIGEN SCHNELLTEST
Prijavnica
Ime / Name / Vorname
Prezime / Last name / Nachname
Datum rođenja / Birhtday / Geburtsdatum
E-mail
Broj mobitela / Mobile phone / Mobilnummer
Spol / Gender / Geschlecht:
Odaberi / Choose / Auswählen
Muški / Male / Männlich
Ženski / Female / Weiblich
Ostalo / Other / Divers
Državljanstvo / Citizenship / Staatsbürgerschaft*:
Odaberi državu
Croatia
Slovenia
Hungary
Germany
Italy
Czech Republic (Czechia)
United Kingdom
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Cuba
Cyprus
Denmark
Djibouti
Dominica
Dominican Republic
DR Congo
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts & Nevis
Saint Lucia
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
St. Vincent & Grenadines
State of Palestine
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
OIB / Id number / Personalausweisnummer
* your personal data will be processed in compliance with the General Data Protection Regulation (GDPR) and only with regard to the purpose of COVID 19 processing
PRIJAVA / REGISTRATION / ANMELDEN
