F023 - Reply to information of periods
Article 6 of Regulation (EC) No 883/2004; Article 12 of Regulation (EC) No 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Person
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Person Identification
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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)
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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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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 about nationality
Nationalities
Nationality
*
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Since
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Addresses of the person
Address of the Person
Type of address
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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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Contact Details
Telephone Numbers
Telephone Number
Type
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Number
*
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Email Addresses
Email Address
Email Address
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Coverage by social security scheme
Periods Covered by security scheme in sending Member State
Period
Start Date
*
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End Date
*
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Periods Not covered
Period Not Covered
Start Date
*
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End Date
*
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Periods of Entitlement
Entitlement to Family Benefits, if yes
If no entitlement, choose one reason
Period Entitlement Family Benefits
Period of Entitlement to family benefit
Start Date
*
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End Date
*
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Reason
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Other reason
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Periods at the last registered institution
Institution
Institution ID
*
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Institution Name
*
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Insurance and Residence Periods
Insurance and Residence Period
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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Type of Period
*
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Periods at the Institution in the place of residence
Institution
Institution ID
*
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Institution Name
*
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Insurance and Residence Periods
Insurance and Residence Period
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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Type of Period
*
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Periods at the current registered Institution
Institution
Institution ID
*
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Institution Name
*
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Insurance and Residence Periods
Insurance and Residence Period
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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Type of Period
*
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Additional information
Additional information
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