Pretensjoni għal Rimborż - Benefiċċji in Natura (CLA)

DA010 - Pretensjoni għal Rimborż - Benefiċċji in Natura (CLA)
L-Artikoli 35, 41 tar-Regolament (KE) Nru 883/2004, 62, 66(1), 67 tar-Regolament (KE) Nru 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Nota Globali CLA * [ SED ]

Referenza CLA Globali tal-Korp ta' Kollegament Kreditur *

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Għadd totali ta' pretensjonijiet individwali *

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Ammont totali ta’ benefiċċji * [ CC ]

Ammont *

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

Munita *

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

Numru ta’ Nofs is-Sena fl-Istituzzjoni Kreditriċi *

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

Numru tas-sena finanzjarja fl-istituzzjoni kreditriċi *

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Kont bankarju tal-Korp ta' Kollegament Kreditur * [ CC ]

IBAN *

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BIC-SWIFT

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Data għas-sottomissjoni *

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CLAs Individwali * [ SED ]

CLA individwali * [ SED ]

ID tal-istituzzjoni kreditriċi * [ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

ID tal-istituzzjoni Debitriċi * [ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Referenzi * [ SED ]

Referenza CLA Globali tal-Korp ta' Kollegament Kreditur *

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Numru CLA individwali tal-Korp ta' Kollegament Kreditur *

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Data meta l-Istituzzjoni Kreditriċi Rreġistrat CLA *

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Persuna li tirċievi benefiċċji * [ CC ]

Tagħrif dwar il-Persuna * [ CC ]

Kunjom(ijiet) *

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Isem/ismijiet *

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Data tat-twelid *

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Sess *

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Kunjom(ijiet) tat-twelid

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Isem/ismijiet tat-twelid

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Numru tal-Identifikazzjoni Personali * [ CC ]

PIN tal-persuna fl-Istat Membru Kompetenti *

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

PIN tal-persuna fl-Istat Membru tas-Soġġorn jew tar-Residenza

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

Dokument tal-intitolament * [ SED ]

Dokument tal-intitolament *

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

Perjodu ta’ validità tal-intitolament * [ CC ]

Perjodu Fiss * [ CC ]

Perjodu Miftuħ * [ CC ]

Data tal-bidu *

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Data tat-tmiem *

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Tip ta’ Perjodu Miftuħ *

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Data tal-bidu *

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Benefiċċji Fornuti * [ SC ]

Benefiċċju relatat ma’ *

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

Data *

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

Perjodu tal-benefiċċji * [ CC ]

Data tal-bidu *

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Data tat-tmiem *

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

Ammont tal-benefiċċji f’dettall * [ SC ]

Ammont ta' kura medika

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

Ammont tal-mediċina

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

Ammont ta' kura tas-snien

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

Ammont għall-Kura fit-Tul

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

Benefiċċji ta’ Kura fi Sptar [ SC ]

Benefiċċju għal kura fi sptar [ SC ]

Perjodu ta’ kura fl-isptar [ CC ]

Data tal-bidu *

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

Data tat-tmiem *

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

Ammont tal-kura fl-isptar *

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

Benefiċċju għal kura fi sptar

Benefiċċju/i ieħor/oħrajn [ SC ]

Benefiċċju ieħor [ SC ]

Deskrizzjoni ta’ Benefiċċju Ieħor *

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

Ammont ta' benefiċċji oħra *

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

Benefiċċju ieħor

Ammont totali tal-benefiċċji * [ CC ]

Ammont *

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

Munita *

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

CLA individwali

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DA010 - Pretensjoni għal Rimborż - Benefiċċji in Natura (CLA) L-Artikoli 35, 41 tar-Regolament (KE) Nru 883/2004, 62, 66(1), 67 tar-Regolament (KE) Nru 987/2009

DA010 - Pretensjoni għal Rimborż - Benefiċċji in Natura (CLA)
L-Artikoli 35, 41 tar-Regolament (KE) Nru 883/2004, 62, 66(1), 67 tar-Regolament (KE) Nru 987/2009