Persiųsti prašymą dėl pensijos ar papildomos išmokos kompetentingai institucijai

DA061 - Persiųsti prašymą dėl pensijos ar papildomos išmokos kompetentingai institucijai
Reglamento (EB) Nr. 987/2009 40 straipsnio 1 dalis

SED API version: 0.16.2 build 2
Model version: 4.2.0

Asmuo * [ SC ]

Asmens tapatybės duomenys * [ CC ]

Pavardė (-ės) *

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

Vardas (-ai) *

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

Gimimo data *

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

Lytis *

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

Pavardė (-ės) (gimus)

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

Vardas (-ai) gimus

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

Asmens PIN kiekvienoje įstaigoje [ CC ]

Asmens identifikavimo numeris (-iai) * [ CC ]

Šalis *

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

Asmens identifikavimo numeris (-iai) *

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

Sektorius

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

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Asmens identifikavimo numeris (-iai)

Jei PIN nepateiktas kiekvienai įstaigai, pateikite [ CC ]

Gimimo vieta [ CC ]

Miestas *

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

Rajonas

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

Šalis *

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

Tėvo pavardė (gimus)

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

Tėvo vardas

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

Motinos pavardė (gimus)

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

Motinos vardas

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

Papildoma informacija apie asmenį [ SC ]

Pilietybė

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

Ankstesnė (-ės) pavardė (-ės)

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

Ankstesnis (-i) vardas (-ai), pavardė (-ės)

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

Įstaiga [ SED ]

Šalies kodas

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

Duomenys [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Asmens adresai [ SC ]

Asmens adresas [ SC ]

Adresas [ CC ]

Gatvė

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

Pastato pavadinimas

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

Miestas *

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

Pašto kodas

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

Rajonas

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

Šalis *

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

Adreso rūšis

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

Asmens adresas

Reikalavimo pateikimo data * [ SED ]

Data *

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

Maitintojo netekęs asmuo, teikiantis prašymą * [ SED ]

Maitintojo netekęs asmuo teikia prašymą * [ SED ]

Asmens tapatybės duomenys * [ CC ]

Pavardė (-ės) *

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

Vardas (-ai) *

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

Gimimo data *

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

Lytis *

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

Pavardė (-ės) (gimus)

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

Vardas (-ai) gimus

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

Asmens PIN kiekvienoje įstaigoje [ CC ]

Asmens identifikavimo numeris (-iai) * [ CC ]

Šalis *

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

Asmens identifikavimo numeris (-iai) *

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

Sektorius

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

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Asmens identifikavimo numeris (-iai)

Jei PIN nepateiktas kiekvienai įstaigai, pateikite [ CC ]

Gimimo vieta [ CC ]

Miestas *

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

Rajonas

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

Šalis *

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

Tėvo pavardė (gimus)

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

Tėvo vardas

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

Motinos pavardė (gimus)

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

Motinos vardas

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

Papildoma informacija apie asmenį [ SED ]

Pilietybė

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

Maitintojo netekusio asmens adresai [ SC ]

Asmens adresas [ SC ]

Adresas [ CC ]

Gatvė

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

Pastato pavadinimas

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

Miestas *

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

Pašto kodas

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

Rajonas

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

Šalis *

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

Adreso rūšis

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

Asmens adresas

Maitintojo netekusio asmens adresai

Maitintojo netekęs asmuo teikia prašymą

Papildoma informacija [ SC ]

Papildoma informacija

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

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

DA061 - Persiųsti prašymą dėl pensijos ar papildomos išmokos kompetentingai institucijai Reglamento (EB) Nr. 987/2009 40 straipsnio 1 dalis

DA061 - Persiųsti prašymą dėl pensijos ar papildomos išmokos kompetentingai institucijai
Reglamento (EB) Nr. 987/2009 40 straipsnio 1 dalis