Information of status - Former Frontier Worker or Family Member of Former Frontier Worker

S007 - Information of status - Former Frontier Worker or Family Member of Former Frontier Worker
Article 28 of Regulation (EC) No 883/2004; Article 29 of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Person * [ SC ]

1.1. Person Identification * [ CC ]

1.1.1. Family name(s) *

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1.1.2. Forename(s) *

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1.1.3. Date of birth *

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1.1.4. Sex *

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1.1.5. Family name(s) at birth

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1.1.6. Forename(s) at birth

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1.1.7. PIN of the person in each institution [ CC ]

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

1.1.7.1.1. Country *

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1.1.7.1.2. Personal Identification Number (PIN) *

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1.1.7.1.3. Sector

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1.1.7.1.4. Institution [ CC ]

1.1.7.1.4.1. Institution ID *

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1.1.7.1.4.2. Institution Name *

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1.1.7.1.Personal Identification Number(s)

1.1.8. If PIN not provided for every institution, please provide [ CC ]

1.1.8.1. Place of birth [ CC ]

1.1.8.1.1. Town *

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1.1.8.1.2. Region

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1.1.8.1.3. Country *

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1.1.8.2. Father's family name at birth

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1.1.8.3. Forename of father

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1.1.8.4. Mother's family name at birth

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1.1.8.5. Forename of mother

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1.2. Additional information on the person [ SC ]

1.2.1. Nationality

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2. Person's address [ SC ]

2.1. Address * [ CC ]

2.1.1. Street

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2.1.2. Building Name

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2.1.3. Town *

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2.1.4. Postal Code

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2.1.5. Region

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2.1.6. Country *

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2.2. Residence in this country since

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3. Information on status as former frontier worker or family member of former frontier worker * [ SED ]

3.1. The person mentioned above * [ SED ]

Has been entitled to an old age or invalidity pension since [ SED ]

Is not entitled to continuation of treatment on the basis of article 28(1) of Regulation (EC) 883/2004 because: [ SED ]

3.1.1.1. Date

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3.1.2.1. Reason

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3.1.2.2. Please fill in the following if "Reason" = "Other" : [ SED ]

3.1.2.2.1. Other

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3.1.3. ... is entitled to continuation of treatment on the basis of article 28(1) of Regulation, as a

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3.1.4. For the purpose of art. 28(2) or (3) of Reg. (EC) 883/2004, during the following periods in the five years preceding the effective date of an old age or invalidity pension had the status of [ SED ]

3.1.4.1. Status

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3.1.4.2. During the following periods in the five years preceding the effective date of an old age or invalidity pension [ SED ]

3.1.4.2.1. Preceding period [ CC ]

3.1.4.2.1.1. Start Date *

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3.1.4.2.1.2. End Date *

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3.1.4.2.1.Preceding period

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S007 - Information of status - Former Frontier Worker or Family Member of Former Frontier Worker Article 28 of Regulation (EC) No 883/2004; Article 29 of Regulation (EC) No 987/2009

S007 - Information of status - Former Frontier Worker or Family Member of Former Frontier Worker
Article 28 of Regulation (EC) No 883/2004; Article 29 of Regulation (EC) No 987/2009