Request Document on Export

U007 - Request Document on Export
Article 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2), 56(3) 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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1.1.Local Case Number

2. Person *

2.1. Person identification *

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) *

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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2.1.7.1.Personal Identification Number(s)

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. Nationality

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3. Date of registration *

3.1. Date *

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4. Person's current address *

4.1. Address details *

4.1.1. Street

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4.1.2. Building Name

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4.1.3. Town *

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4.1.4. Postal Code

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4.1.5. Region

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4.1.6. Country *

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4.2. Contact information

4.2.1. Telephone Numbers

4.2.1.1. Telephone Number

4.2.1.1.1. Type

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4.2.1.1.2. Number *

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4.2.1.1.Telephone Number

4.2.2. Email Addresses

4.2.2.1. Email Address

4.2.2.1.1. Email Address

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4.2.2.1.Email Address

5. Last address in the Competent State

5.1. Street

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5.2. Building Name

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5.3. Town *

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5.4. Postal Code

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5.5. Region

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5.6. Country *

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6. Details of institution or Fund granting unemployment benefits

6.1. Institution ID is known *

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Please fill in the following if "Institution ID is known" = "Yes" :
Please fill in the following if "Institution ID is known" = "No" :

6.2.1. Institution ID *

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6.2.2. Institution Name *

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6.3.1. Institution name *

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6.3.2. Institution address *

6.3.2.1. Street

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6.3.2.2. Building Name

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6.3.2.3. Town *

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6.3.2.4. Postal Code

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6.3.2.5. Region

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6.3.2.6. Country *

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