Acceptance of Decision on Applicable Legislation

A012 - Acceptance of Decision on Applicable Legislation
Articles 13(1), 13(2), 13(3), 13(4), 87(a) of Regulation (EC)No 883/2004 and articles 14(5)b, 14(11), 16 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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Additional information

Additional information

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