Document on Export

U008 - Document on Export
Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Local case numbers [ CC ]

1.1. Local Case Number [ CC ]

1.1.1. Country *

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1.1.2. Case number *

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1.1.3. Institution [ CC ]

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 * [ SC ]

2.1. Person identification * [ CC ]

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 [ CC ]

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

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 [ CC ]

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 [ CC ]

2.1.8.1. Place of birth [ CC ]

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 [ SC ]

2.2.1. Nationality

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3. Entitlement * [ SED ]

3.1. Entitlement to export *

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3.2. Please fill in the following if "Entitlement to export" = "Yes" : [ SED ]

3.2.1. Export period details [ SED ]

3.2.1.1. Last day of maximum period * [ SED ]

3.2.1.1.1. Date *

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3.2.1.2. Estimated end of entitlement [ SED ]

3.2.1.2.1. Date *

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3.2.2. Circumstances likely to affect the entitlement to Unemployment benefit * [ SED ]

3.2.2.1. Circumstances likely to affect the entitlement to Unemployment benefit *

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3.2.2.2. Please fill in the following if "Circumstances likely to affect the entitlement to Unemployment benefit" = "09 - Other circumstances" [ SED ]

3.2.2.2.1. Other circumstances specification [ SED ]

3.2.2.2.1.1. Circumstance *

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3.2.2.2.1.Other circumstances specification

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U008 - Document on Export Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) of Regulation (EC) No 987/2009

U008 - Document on Export
Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) of Regulation (EC) No 987/2009