Membership Form

I apply for admission to the DGLR and I am willing to pay the contribution according to the contribution rules (valid from 1 January 2014).

The information marked with * is mandatory. The remaining details are for membership administration purposes.

In order to avoid misuse, your online membership application will only become effective once you have reconfirmed a confirmation e-mail that you will receive from the DGLR after sending your application and once you have submitted any necessary proof (dual membership, certificate of study, etc.).

Fill out and submit your membership application form

(Please submit a copy of your membership card by fax/e-mail!)

(Please submit a copy of your membership card by fax/e-mail!)

Pupils, students: max. up to the age of 28.
(Please submit a copy of a corresponding certificate, e.g. student ID, by fax/e-mail!)

  I am: University (students only):

In the first two years after training and max. up to the age of 30.

(Please submit a copy of your membership card by fax/e-mail!)

(Please submit a copy of your membership card by fax/e-mail!)

65 years or older (please submit a copy of a corresponding certificate (ID or similar) by fax/e-mail!)

(Please submit a copy of your membership card by fax/e-mail!)

(Please submit a copy of your membership card by fax/e-mail!)


Date of admission**

Recruited by:


Private address

Company address (optional)

Confirmation of the statutes

DGLR privancy policy