S016 - Cancellation of Entitlement Document by the Competent Institution Articles 17, 22, 24, 25, 26 of Regulation (EC) No 883/2004; Article 24 of Regulation (EC) No 987/2009
SED API version: 0.14.2 PREVIEW build 3 Model version: 4.0.16
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1.1.7.1.Personal Identification Number(s)
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3.1.7.1.Personal Identification Number(s)
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Fixed period* Open period*
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Please fill in the following if "Reason" = "Not insured in our member state since" OR "Reason" = "Resides in our member state since" OR "Reason" = "No longer resides in your member state since" : Please fill in the following if "Reason" = "Died on" : Please fill in the following if "Reason" = "Insured in another country on the basis of pension cf. reg 883/04, art 24(2)(b)" : Please fill in the following if "Reason" = "Other reason" :