Trażmissjoni tat-Talba għal Awtorizzazzjoni biex Jiġi Riċevut it-Trattament Skedat fi Stat Membru ieħor Għajr l-Istat Membru Kompetenti u l-Istat Membru ta' Residenza

DA006 - Trażmissjoni tat-Talba għal Awtorizzazzjoni biex Jiġi Riċevut it-Trattament Skedat fi Stat Membru ieħor Għajr l-Istat Membru Kompetenti u l-Istat Membru ta' Residenza
L-Artikoli 36, 20 tar-Regolament (KE) Nru 883/2004, 33, 26(2) tar-Regolament (KE) Nru 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Persuna * [ SC ]

Identifikazzjoni tal-persuna * [ CC ]

Kunjom(ijiet) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

Isem/ismijiet *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

Data tat-twelid *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

Sess *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

Kunjom(ijiet) mat-twelid

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

Isem/ismijiet mat-twelid

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

PIN tal-persuna f’kull istituzzjoni [ CC ]

Numru/i ta' Identifikazzjoni Personali * [ CC ]

Pajjiż *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Numru ta' identifikazzjoni personali (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

Settur

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

Istituzzjoni [ CC ]

ID tal-istituzzjoni *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Isem l-istituzzjoni *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

Numru/i ta' Identifikazzjoni Personali

Jekk il-PIN ma ġiex ipprovdut għal kull istituzzjoni, jekk jogħġbok ipprovdi [ CC ]

Post tat-twelid [ CC ]

Belt *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Reġjun

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Pajjiż *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Kunjom il-missier mat-twelid

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

Isem il-missier

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

Kunjom l-omm mat-twelid

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

Isem l-omm

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

Tagħrif addizzjonali dwar il-persuna [ SC ]

Nazzjonalità

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

Kunjom(ijiet) preċedenti

[ BDT ] {{metaSection.previousFamilyName.$$error}} {{metaSection.previousFamilyName.$$warning}}

Isem/ismijiet preċedenti

[ BDT ] {{metaSection.previousForename.$$error}} {{metaSection.previousForename.$$warning}}

Indirizzi tal-persuna [ SC ]

Indirizz tal-persuna [ SC ]

Indirizz [ CC ]

Triq

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Isem il-Bini

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Belt *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Kodiċi postali

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Reġjun

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Pajjiż *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Tip ta' Indirizz

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

Indirizz tal-persuna

Dan is-SED jirrigwarda * [ SC ]

Tip ta’ SED *

[ ENUM ] {{metaSection.typeOfSED.$$error}} {{metaSection.typeOfSED.$$warning}}

Data *

[ BDT ] {{metaSection.date.$$error}} {{metaSection.date.$$warning}}

Kodiċi

[ CDT ] {{metaSection.code.$$error}} {{metaSection.code.$$warning}}

Sistema ta’ kodifikazzjoni

[ CDT ] {{metaSection.codingSystem.$$error}} {{metaSection.codingSystem.$$warning}}

Deskrizzjoni

[ CDT ] {{metaSection.description.$$error}} {{metaSection.description.$$warning}}

Status tal-persuna

[ ENUM ] {{metaSection.statusPerson.$$error}} {{metaSection.statusPerson.$$warning}}

Jekk jogħġbok imla li ġej jekk “Status tal-persuna” = “Ieħor”: [ SC ]

Status tal-persuna (jekk "Ieħor")

[ CDT ] {{metaSection.statusPersonIfOther.$$error}} {{metaSection.statusPersonIfOther.$$warning}}

Impjegatur [ CC ]

Isem *

[ CDT ] {{metaSection.name.$$error}} {{metaSection.name.$$warning}}

Numri ta’ identifikazzjoni [ CC ]

Numru ta’ identifikazzjoni [ CC ]

Għadd *

[ CDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

Tip *

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

Numru ta’ identifikazzjoni

Indirizz [ CC ]

Triq

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Isem il-Bini

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Belt *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Kodiċi postali

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Reġjun

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Pajjiż *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Trattament li għalih ġiet mitluba l-awtorizzazzjoni * [ SED ]

Trattament mitlub * [ SC ]

Deskrizzjoni *

[ CDT ] {{metaSection.description.$$error}} {{metaSection.description.$$warning}}

Data tat-talba tal-fornitur tal-kura *

[ BDT ] {{metaSection.datePersonRequest.$$error}} {{metaSection.datePersonRequest.$$warning}}

Min qed jipprovdi s-servizz * [ SC ]

Isem *

[ CDT ] {{metaSection.name.$$error}} {{metaSection.name.$$warning}}

Indirizz * [ CC ]

Triq

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Isem il-Bini

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Belt *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Kodiċi postali

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Reġjun

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Pajjiż *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Perjodu tat-trattament * [ CC ]

Data tal-bidu *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

Data tat-tmiem *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

Il-persuna tista’ tingħata trattament f'limitu ta' żmien ġustifikat b'mod mediku fl-Istat Membru tar-residenza *

[ ENUM ] {{metaSection.personCanTreatedJustifiableTimeLimitStateResidenceIndicator.$$error}} {{metaSection.personCanTreatedJustifiableTimeLimitStateResidenceIndicator.$$warning}}

rapport mediku * [ SC ]

Ir-Rapport Mediku huwa mehmuż *

[ ENUM ] {{metaSection.medicalReportAttachedIndicator.$$error}} {{metaSection.medicalReportAttachedIndicator.$$warning}}

Tagħrif addizzjonali [ SC ]

Tagħrif addizzjonali

[ CDT ] {{metaSection.additionalInformation.$$error}} {{metaSection.additionalInformation.$$warning}}

{{ row.severityMessage }} : {{ row.message }}

DA006 - Trażmissjoni tat-Talba għal Awtorizzazzjoni biex Jiġi Riċevut it-Trattament Skedat fi Stat Membru ieħor Għajr l-Istat Membru Kompetenti u l-Istat Membru ta' Residenza L-Artikoli 36, 20 tar-Regolament (KE) Nru 883/2004, 33, 26(2) tar-Regolament (KE) Nru 987/2009

DA006 - Trażmissjoni tat-Talba għal Awtorizzazzjoni biex Jiġi Riċevut it-Trattament Skedat fi Stat Membru ieħor Għajr l-Istat Membru Kompetenti u l-Istat Membru ta' Residenza
L-Artikoli 36, 20 tar-Regolament (KE) Nru 883/2004, 33, 26(2) tar-Regolament (KE) Nru 987/2009