Notification of relevant information

A008 - Notification of relevant information
Title II of Regulation (EC) 883/2004, article 16(2) of Regulation (EC) No 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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Competent institution (if differs from Sending institution)

Institution ID *

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Institution Name *

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Notification of changes in relevant data

Person

Family name(s)

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Forename(s)

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Address

Street

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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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Place of work in host country

Company name / vessel name

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Address

Street

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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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Change effective from

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Change in period

Period change

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Actual starting date

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Actual end date

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Information on working in two or more Member States

State of residence *

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Start date of activities

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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

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