U027_Child

U027_Child - U027_Child

SED API version: 0.14.2 PREVIEW build 3
Model version: 4.0.16

1. Individual claim which cannot be subjected to interest *

1.1. Sequential number of individual claim *

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1.2. Person *

1.2.1. Family name(s) *

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1.2.2. Forename(s) *

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1.2.3. Date of birth *

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1.2.4. Sex *

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1.3. Specify the reason *

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1.4. Please fill in the following if "Specify the reason" = "03 - Other" :

1.4.1. Please specify Other

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