Dispute of date

S050 - Dispute of date
N/A

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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Original data *

Concerns your SED *

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Issued on (date of sending) *

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Period mentioned by your institution *

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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Our opinion *

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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Reason *

Reason *

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