Partial or total refusal to Request for Exception

A002 - Partial or total refusal to Request for Exception
Article 16 (1) of Regulation(EC) 883/2004, Article 18 of Regulation (EC) 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Person *

Person Identification *

Family name(s) *

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Forename(s) *

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Date of birth *

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Sex *

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Family name(s) at birth

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Forename(s) at birth

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PIN of the person in each institution

Personal Identification Number(s) *

Country *

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Personal Identification Number (PIN) *

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Sector

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Institution

Institution ID *

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Institution Name *

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Personal Identification Number(s)

If PIN not provided for every institution, please provide

Place of birth

Town *

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Region

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Country *

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Father's family name at birth

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Forename of father

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Mother's family name at birth

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Forename of mother

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Additional information on the person *

Nationality *

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Addresses *

Address *

Type *

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Address *

Street

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Building Name

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Town *

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Postal Code

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Region

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Country *

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Address

Identification of the employer(s)

Employer

Name *

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Identification numbers

Identification number

Number *

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Type *

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Identification number

Address

Street

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Building Name

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Town *

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Postal Code

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Region

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Country *

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Employer

Identification of the self-employment(s)

Self-Employment

Name *

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Identification numbers

Identification number

Number *

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Type *

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Identification number

Address

Street

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Building Name

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Town *

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Postal Code

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Region

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Country *

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Self-Employment

Place(s) of work

Place of Work

Company name / vessel name *

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Flag state/home base

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Address *

Street

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Building Name

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Town *

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Postal Code

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Region

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Country *

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No fixed address in State(s) of work

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Place of Work

Decision *

Decision *

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Other period

Fixed period*
Open period*

Start date *

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End date *

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Type of Open Period *

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Start date *

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Justification of decision

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Additional information

Additional information

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