P9000 - Reply to request for additional information
Articles 47(1)(4) of Regulation (EC) No 987/2009
SED API version: 0.15.3 build preview 1
Model version: 4.1.0
1. Local case numbers
1.1. Local Case Number
1.1.1. Country
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1.1.2. Case number
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1.1.3. Institution
1.1.3.1. Institution ID
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1.1.3.2. Institution Name
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2. Insured person
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2.1. Person identification
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2.1.1. Family name(s)
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2.1.2. Forename(s)
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2.1.3. Date of birth
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2.1.4. Sex
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2.1.5. Family name(s) at birth
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2.1.6. Forename(s) at birth
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2.1.7. PIN of the person in each institution
2.1.7.1. Personal Identification Number(s)
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2.1.7.1.1. Country
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2.1.7.1.2. Personal Identification Number (PIN)
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2.1.7.1.3. Sector
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2.1.7.1.4. Institution
2.1.7.1.4.1. Institution ID
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2.1.7.1.4.2. Institution Name
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2.1.8. If PIN not provided for every institution, please provide
2.1.8.1. Place of birth
2.1.8.1.1. Town
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2.1.8.1.2. Region
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2.1.8.1.3. Country
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2.1.8.2. Father's family name at birth
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2.1.8.3. Forename of father
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2.1.8.4. Mother's family name at birth
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2.1.8.5. Forename of mother
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2.2. Additional information on the person
2.2.1. Additional information on the person
2.2.1.1. Nationality
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2.2.1.2. Previous family name(s)
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2.2.1.3. Previous forename(s)
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2.2.2. Address
2.2.2.1. Street
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2.2.2.2. Building Name
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2.2.2.3. Town
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2.2.2.4. Postal Code
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2.2.2.5. Region
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2.2.2.6. Country
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2.2.3. Contact information on the person
2.2.3.1. Telephone Numbers
2.2.3.1.1. Telephone Number
2.2.3.1.1.1. Type
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2.2.3.1.1.2. Number
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2.2.3.2. Email Addresses
2.2.3.2.1. Email Address
2.2.3.2.1.1. Email Address
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3. Other person
3.1. Role of the person concerned
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3.2. Person identification
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3.2.1. Family name(s)
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3.2.2. Forename(s)
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3.2.3. Date of birth
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3.2.4. Sex
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3.2.5. Family name(s) at birth
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3.2.6. Forename(s) at birth
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3.2.7. PIN of the person in each institution
3.2.7.1. Personal Identification Number(s)
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3.2.7.1.1. Country
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3.2.7.1.2. Personal Identification Number (PIN)
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3.2.7.1.3. Sector
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3.2.7.1.4. Institution
3.2.7.1.4.1. Institution ID
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3.2.7.1.4.2. Institution Name
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3.2.8. If PIN not provided for every institution, please provide
3.2.8.1. Place of birth
3.2.8.1.1. Town
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3.2.8.1.2. Region
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3.2.8.1.3. Country
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3.2.8.2. Father's family name at birth
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3.2.8.3. Forename of father
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3.2.8.4. Mother's family name at birth
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3.2.8.5. Forename of mother
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3.3. Additional information on the person
3.3.1. Additional information about a person
3.3.1.1. Nationality
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3.3.1.2. Previous family name(s)
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3.3.1.3. Previous forename(s)
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3.3.2. Contact information on the person
3.3.2.1. Telephone Numbers
3.3.2.1.1. Telephone Number
3.3.2.1.1.1. Type
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3.3.2.1.1.2. Number
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3.3.2.2. Email Addresses
3.3.2.2.1. Email Address
3.3.2.2.1.1. Email Address
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4. Reference to request on P8000
4.1. This reply is made in response to request on P8000 dated
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4.2. This reply is made with reference to the person named in
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5. Reply to request for document(s)
5.1. Please find attached following document(s)
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5.2. Additional information on document(s)
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6. Life/death information
6.1. According to our official sources
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6.2. Date of death of the person
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6.3. Place of birth
6.3.1. Town of birth
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6.3.2. Region of birth
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6.3.3. Country of birth
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7. Information on attendance to school/training/higher studies
7.1. Attendance to school/training/higher studies
7.1.1. Start date of attendance to school/training/higher studies
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7.1.2. End date of attendance to school/training/higher studies
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7.1.3. Type of school/training/higher studies
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7.1.4. Name of educational institution/school/university
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7.1.5. Detailed information on attendance to school/training/higher studies
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8. Current address of the person
8.1. Address
8.1.1. Street
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8.1.2. Building Name
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8.1.3. Town
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8.1.4. Postal Code
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8.1.5. Region
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8.1.6. Country
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8.2. Date of change of the address
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9. Personal Identification Number (PIN)
9.1. Personal Identification Number for the person concerned is
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10. Family Status
10.1. Family Status
10.1.1. Family Status
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10.1.2. Family status date
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11. Information on the representative/legal guardian
11.1. Name
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11.2. Grounds
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11.3. Address
11.3.1. Street
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11.3.2. Building Name
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11.3.3. Town
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11.3.4. Postal Code
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11.3.5. Region
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11.3.6. Country
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12. Information on payment
12.1. Payment to
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12.2. Bank information
12.2.1. Account holder name
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SEPA Account
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Non-SEPA Account
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12.2.2.1. IBAN
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12.2.2.2. BIC-SWIFT
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12.2.3.1. Account Number
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12.2.3.2. BIC-SWIFT
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12.2.3.3. Bank Name
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12.2.3.4. Bank Address
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12.2.3.4.1. Street
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12.2.3.4.2. Building Name
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12.2.3.4.3. Town
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12.2.3.4.4. Postal Code
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12.2.3.4.5. Region
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12.2.3.4.6. Country
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13. Contact information on the person
13.1. Telephone Numbers
13.1.1. Telephone Number
13.1.1.1. Type
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13.1.1.2. Number
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13.2. Email Addresses
13.2.1. Email Address
13.2.1.1. Email Address
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14. Information on person's benefit(s)
14.1. Person's benefit information
14.1.1. The person
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14.1.2. The following benefit
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14.1.3. Please fill in the following if "The following benefit " = "Other benefits" :
14.1.3.1. Other benefit(s)
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14.1.4. Date of the claim for benefit
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14.1.5. Start date of entitlement
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14.1.6. End date of entitlement
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14.1.7. Start date of payment
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14.1.8. End date of payment
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14.1.9. Start date of suspension of benefit
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14.1.10. End date of suspension of benefit
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14.1.11. Start date of reduction of benefit
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14.1.12. End date of reduction of benefit
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14.1.13. Amount
14.1.13.1. Amount
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14.1.13.2. Currency
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14.1.13.3. Amount effective since
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14.1.13.4. Payment frequency
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14.1.13.5. Please fill in the following if "Payment frequency" = "Other" :
14.1.13.5.1. Other payment frequency
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14.1.14. Supplements and additional frequent payments to the pension
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14.1.15. Date of rejection of benefit
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14.1.16. Other information on benefit(s)
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15. Information on person's activity
15.1. Detailed information on activity
15.1.1. The person is/was running activity as
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15.1.2. Start date of activity
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15.1.3. End date of activity
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15.1.4. Working hours per week
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15.1.5. Occupation
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15.2. Information on Non-activity
15.2.1. The person is/was non-active
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15.2.2. Start date
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15.2.3. End date
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15.3. Information on Unemployment
15.3.1. The person is/was unemployed
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15.3.2. Start date
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15.3.3. End date
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15.4. Additional information on activity/non-activity
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16. Information on person's income
16.1. Person's income
16.1.1. The person
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16.1.2. Source of income
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16.1.3. Start date of receiving income
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16.1.4. End date of receiving income
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16.1.5. Amount
16.1.5.1. Amount
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16.1.5.2. Currency
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16.1.5.3. Amount effective since
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16.1.5.4. Payment frequency
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16.1.5.5. Please fill in the following if "Payment frequency" = "Other" :
16.1.5.5.1. Other payment frequency
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16.1.6. Supplements and additional frequent payments to income
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16.1.7. Additional information on income
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17. Reply to request for other information
17.1. Other information
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18. Confirmation of information
18.1. Confirmation of information
18.1.1. The information in your P8000 stated in point
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18.1.2. The information
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18.1.3. Reason why we do not confirm the information (differences)
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18.1.4. Different information in our possession is
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19. Statement of the person
19.1. The person made and signed at our institution the following statement
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19.2. Date of the statement
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20. Negative reply
20.1. We regret but we are unable to send you
20.1.1. Following information
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20.1.2. The following SED(s)
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20.1.3. Following document(s)
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20.1.4. Following confirmation on the information
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20.2. Reasons
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20.3. Please fill in the following if "Reasons" = "Other reasons" :
20.3.1. Other reasons
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20.4. Reasons for not sending SED(s)
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21. Additional information
21.1. Additional information
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