Information about payment regarding priority right

F003 - Information about payment regarding priority right
883/04 Articles 1(1), 11, 67,68 and 987/09 Articles 2(2), 59, 60(1)

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Receipt of application for family benefits [ SED ]

1.1. Date of receipt of the application

[ BDT ] {{metaSection.dateReceiptApplication.$$error}} {{metaSection.dateReceiptApplication.$$warning}}

1.2. Type of claim

[ ENUM ] {{metaSection.typeClaim.$$error}} {{metaSection.typeClaim.$$warning}}

2. Decision

[ SED ]

Decision regarding all children mentioned in this SED [ ENUM ]

Decision regarding not all children mentioned in this SED [ SC ]

2.1. Decision regarding all children mentioned in this SED

[ ENUM ] {{metaSection.DecisionRegardingAllChildrenMentionedInThisSED.$$error}} {{metaSection.DecisionRegardingAllChildrenMentionedInThisSED.$$warning}}

2.2.1. Decision regarding all children mentioned in this SED

[ ENUM ] {{metaSection.DecisionRegardingAllChildrenMentionedInThisSED.$$error}} {{metaSection.DecisionRegardingAllChildrenMentionedInThisSED.$$warning}}

2.2.2. Child for whom this decision applies [ SC ]

2.2.2.1. Family Name *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

2.2.2.2. Forename *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

2.2.2.3. Date of Birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

2.2.2.Child for whom this decision applies

2.3. Periods [ SC ]

2.3.1. Period [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

2.3.1.1.1. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

2.3.1.1.2. End date *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

2.3.1.2.1. Type of Open Period *

[ ENUM ] {{metaSection.typeOpenPeriod.$$error}} {{metaSection.typeOpenPeriod.$$warning}}

2.3.1.2.2. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

2.3.1.Period

2.4. Decision on competence regarding priority right

[ CDT ] {{metaSection.decisionCompetenceRegardingPriorityRight.$$error}} {{metaSection.decisionCompetenceRegardingPriorityRight.$$warning}}

2.5. The reason for decision

[ CDT ] {{metaSection.theReasonForDecision.$$error}} {{metaSection.theReasonForDecision.$$warning}}

2.6. Additional information

[ CDT ] {{metaSection.additionalInformation.$$error}} {{metaSection.additionalInformation.$$warning}}

3. Claimant * [ SED ]

3.1. Person Identification * [ CC ]

3.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

3.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

3.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

3.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

3.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

3.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

3.1.7. PIN of the person in each institution

[ CC ]

3.1.7.1. Personal Identification Number(s) * [ CC ]

3.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

3.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

3.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

3.1.7.1.4. Institution

[ CC ]

3.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

3.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

3.1.7.1.Personal Identification Number(s)

3.1.8. If PIN not provided for every institution, please provide

[ CC ]

3.1.8.1. Place of birth

[ CC ]

3.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

3.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

3.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

3.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

3.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

3.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

3.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

3.2. Additional information about nationality [ SC ]

3.2.1. Nationalities [ SC ]

3.2.1.1. Nationality *

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

3.2.1.2. Since

[ BDT ] {{metaSection.since.$$error}} {{metaSection.since.$$warning}}

3.2.1.Nationalities

3.3. Addresses of the person [ SC ]

3.3.1. Address of the Person

[ SC ]

3.3.1.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

3.3.1.2. Address

[ CC ]

3.3.1.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

3.3.1.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

3.3.1.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

3.3.1.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

3.3.1.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

3.3.1.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

3.3.1.Address of the Person

3.4. Contact Details [ CC ]

3.4.1. Telephone Numbers [ CC ]

3.4.1.1. Telephone Number [ CC ]

3.4.1.1.1. Type

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

3.4.1.1.2. Number *

[ BDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

3.4.1.1.Telephone Number

3.4.2. Email Addresses [ CC ]

3.4.2.1. Email Address [ CC ]

3.4.2.1.1. Email Address

[ BDT ] {{metaSection.email.$$error}} {{metaSection.email.$$warning}}

3.4.2.1.Email Address

Is entitled to family benefit [ SED ]

Is not entitled to family benefit [ SED ]

3.5.1. Period of Entitlement [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

3.5.1.1.1. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

3.5.1.1.2. End date *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

3.5.1.2.1. Type of Open Period *

[ ENUM ] {{metaSection.typeOpenPeriod.$$error}} {{metaSection.typeOpenPeriod.$$warning}}

3.5.1.2.2. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

3.5.1.Period of Entitlement

3.6.1. Reason

[ ENUM ] {{metaSection.reason.$$error}} {{metaSection.reason.$$warning}}

3.6.2. Additional information

[ CDT ] {{metaSection.additionalInformation.$$error}} {{metaSection.additionalInformation.$$warning}}

4. Information on spouse or partner [ SED ]

4.1. Person Identification * [ CC ]

4.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

4.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

4.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

4.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

4.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

4.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

4.1.7. PIN of the person in each institution

[ CC ]

4.1.7.1. Personal Identification Number(s) * [ CC ]

4.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

4.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

4.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

4.1.7.1.4. Institution

[ CC ]

4.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

4.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

4.1.7.1.Personal Identification Number(s)

4.1.8. If PIN not provided for every institution, please provide

[ CC ]

4.1.8.1. Place of birth

[ CC ]

4.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

4.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

4.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

4.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

4.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

4.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

4.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

4.2. Additional information about nationality [ SC ]

4.2.1. Nationalities [ SC ]

4.2.1.1. Nationality *

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

4.2.1.2. Since

[ BDT ] {{metaSection.since.$$error}} {{metaSection.since.$$warning}}

4.2.1.Nationalities

4.3. Addresses of the person

[ SC ]

4.3.1. Address of the Person

[ SC ]

4.3.1.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

4.3.1.2. Address

[ CC ]

4.3.1.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

4.3.1.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

4.3.1.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

4.3.1.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

4.3.1.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

4.3.1.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

4.3.1.Address of the Person

4.4. Contact Details [ CC ]

4.4.1. Telephone Numbers [ CC ]

4.4.1.1. Telephone Number [ CC ]

4.4.1.1.1. Type

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

4.4.1.1.2. Number *

[ BDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

4.4.1.1.Telephone Number

4.4.2. Email Addresses [ CC ]

4.4.2.1. Email Address [ CC ]

4.4.2.1.1. Email Address

[ BDT ] {{metaSection.email.$$error}} {{metaSection.email.$$warning}}

4.4.2.1.Email Address

4.5. Additional information

[ CDT ] {{metaSection.additionalInformation.$$error}} {{metaSection.additionalInformation.$$warning}}

5. Information on other person [ SED ]

5.1. Personal Details * [ CC ]

5.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

5.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

5.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

5.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

5.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

5.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

5.1.7. PIN of the person in each institution

[ CC ]

5.1.7.1. Personal Identification Number(s) * [ CC ]

5.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

5.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

5.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

5.1.7.1.4. Institution

[ CC ]

5.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

5.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

5.1.7.1.Personal Identification Number(s)

5.1.8. If PIN not provided for every institution, please provide

[ CC ]

5.1.8.1. Place of birth

[ CC ]

5.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

5.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

5.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

5.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

5.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

5.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

5.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

5.2. Additional information about nationality [ SC ]

5.2.1. Nationalities [ SC ]

5.2.1.1. Nationality *

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

5.2.1.2. Since

[ BDT ] {{metaSection.since.$$error}} {{metaSection.since.$$warning}}

5.2.1.Nationalities

5.3. Addresses of the person [ SC ]

5.3.1. Address of the Person

[ SC ]

5.3.1.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

5.3.1.2. Address

[ CC ]

5.3.1.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

5.3.1.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

5.3.1.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

5.3.1.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

5.3.1.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

5.3.1.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

5.3.1.Address of the Person

5.4. Contact Details [ CC ]

5.4.1. Telephone Numbers [ CC ]

5.4.1.1. Telephone Number [ CC ]

5.4.1.1.1. Type

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

5.4.1.1.2. Number *

[ BDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

5.4.1.1.Telephone Number

5.4.2. Email Addresses [ CC ]

5.4.2.1. Email Address [ CC ]

5.4.2.1.1. Email Address

[ BDT ] {{metaSection.email.$$error}} {{metaSection.email.$$warning}}

5.4.2.1.Email Address

5.5. Family relationship of the claimant to spouse or other person [ SED ]

5.5.1. Relationships [ SED ]

5.5.1.1. Family relationship

[ ENUM ] {{metaSection.familyRelationship.$$error}} {{metaSection.familyRelationship.$$warning}}

5.5.1.2. Other relationship

[ CDT ] {{metaSection.otherRelationship.$$error}} {{metaSection.otherRelationship.$$warning}}

5.5.1.3. Period [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

5.5.1.3.1.1. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

5.5.1.3.1.2. End date *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

5.5.1.3.2.1. Type of Open Period *

[ ENUM ] {{metaSection.typeOpenPeriod.$$error}} {{metaSection.typeOpenPeriod.$$warning}}

5.5.1.3.2.2. Start date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

5.5.1.4. Name of person

[ BDT ] {{metaSection.namePerson.$$error}} {{metaSection.namePerson.$$warning}}

5.5.1.5. Date of relationship

[ BDT ] {{metaSection.dateRelationship.$$error}} {{metaSection.dateRelationship.$$warning}}

5.5.1.6. Is the claimant a member of the same household as the person in question

[ ENUM ] {{metaSection.isClaimantAMemberSameHouseholdPersonInQuestionIndicator.$$error}} {{metaSection.isClaimantAMemberSameHouseholdPersonInQuestionIndicator.$$warning}}

6. Information on child(ren) *

[ SED ]

6.1. Child for whom this decision applies * [ SC ]

6.1.1. Child Details * [ CC ]

6.1.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

6.1.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

6.1.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

6.1.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

6.1.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

6.1.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

6.1.1.7. PIN of the person in each institution

[ CC ]

6.1.1.7.1. Personal Identification Number(s) * [ CC ]

6.1.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

6.1.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

6.1.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

6.1.1.7.1.4. Institution

[ CC ]

6.1.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

6.1.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

6.1.1.7.1.Personal Identification Number(s)

6.1.1.8. If PIN not provided for every institution, please provide

[ CC ]

6.1.1.8.1. Place of birth

[ CC ]

6.1.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

6.1.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

6.1.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

6.1.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

6.1.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

6.1.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

6.1.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

6.1.2. Additional information about nationality [ SC ]

6.1.2.1. Nationalities [ SC ]

6.1.2.1.1. Nationality *

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

6.1.2.1.2. Since

[ BDT ] {{metaSection.since.$$error}} {{metaSection.since.$$warning}}

6.1.2.1.Nationalities

6.1.3. Addresses of the child [ SC ]

6.1.3.1. Address of the Person

[ SC ]

6.1.3.1.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

6.1.3.1.2. Address

[ CC ]

6.1.3.1.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

6.1.3.1.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

6.1.3.1.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

6.1.3.1.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

6.1.3.1.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

6.1.3.1.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

6.1.3.1.Address of the Person

6.1.Child for whom this decision applies

7. Amounts, names and currencies for family benefits of the Children

[ SC ]

7.1. Amount, name and currency for family benefits for a child

[ SC ]

7.1.1. Name of child

[ BDT ] {{metaSection.nameChild.$$error}} {{metaSection.nameChild.$$warning}}

7.1.2. Name of benefit

[ CDT ] {{metaSection.nameBenefit.$$error}} {{metaSection.nameBenefit.$$warning}}

7.1.3. Family Benefit Details [ SC ]

7.1.3.1. Amount [ CC ]

7.1.3.1.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

7.1.3.1.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

7.1.3.2. Date for granted benefits

[ CC ]

7.1.3.2.1. Start Date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

7.1.3.2.2. End Date *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

7.1.3.3. Period definition *

[ CDT ] {{metaSection.periodDefinition.$$error}} {{metaSection.periodDefinition.$$warning}}

7.1.3.4. Name of beneficiary

[ BDT ] {{metaSection.nameBeneficiary.$$error}} {{metaSection.nameBeneficiary.$$warning}}

7.1.Amount, name and currency for family benefits for a child

8. Amounts of family benefit(s) for the entire family

[ SC ]

8.1. Amount of Family Benefit

[ SC ]

8.1.1. Name of benefit

[ CDT ] {{metaSection.nameBenefit.$$error}} {{metaSection.nameBenefit.$$warning}}

8.1.2. Number of persons benefits are granted for

[ PRIM ] {{metaSection.numberPersonsBenefitsAreGrantedFor.$$error}} {{metaSection.numberPersonsBenefitsAreGrantedFor.$$warning}}

8.1.3. Family Benefit Details [ SC ]

8.1.3.1. Amount [ CC ]

8.1.3.1.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

8.1.3.1.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

8.1.3.2. Date for granted benefits

[ CC ]

8.1.3.2.1. Start Date *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

8.1.3.2.2. End Date *

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8.1.3.3. Period definition *

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8.1.3.4. Name of beneficiary

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8.1.Amount of Family Benefit

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F003 - Information about payment regarding priority right 883/04 Articles 1(1), 11, 67,68 and 987/09 Articles 2(2), 59, 60(1)

F003 - Information about payment regarding priority right
883/04 Articles 1(1), 11, 67,68 and 987/09 Articles 2(2), 59, 60(1)