F004 - Žiadosť o spresnenie
články 67, 68 nariadenia (ES) č. 883/2004, článok 6 ods. 2, články 11, 58, 59, článok 60 ods. 1, 2, 3, 4 nariadenia (ES) č. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Spresnite dôvody vášho rozhodnutia
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Dátum vášho rozhodnutia
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Dôvody nesúhlasu
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Obdobie/status zamestnania/samostatnej zárobkovej činnosti
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Obdobie poistenia
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Dĺžka obvyklého pobytu na území
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Bydlisko dieťaťa (detí)
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Údaje o osobnej situácii [článok 11 nariadenia (ES) č. 987/2009]
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Žiadateľ
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Meno(-á)
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Dátum narodenia
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Pohlavie
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Rodné priezvisko(-á)
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Meno(-á)
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PIN osoby v každej inštitúcii
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Štát
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Osobné identifikačné číslo (PIN)
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Sektor
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Názov inštitúcie
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Ak nie je pre každú inštitúciu zadaný PIN, zadajte
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Miesto narodenia
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Mesto
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Okres
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Rodné priezvisko otca
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Meno otca
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Rodné priezvisko matky
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Meno matky
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Štátne príslušnosti
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Štátna príslušnosť
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Od
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Adresy osoby
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Adresa osoby
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Druh adresy
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Adresa
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Ulica
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Názov budovy
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Mesto
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Poštové smerovacie číslo
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Okres
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Štát
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Kontaktné údaje
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Telefónne čísla
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Telefónne číslo
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Druh
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Číslo
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E-mailové adresy
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E-mailová adresa
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E-mailová adresa
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Krytie systémom sociálneho zabezpečenia
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Obdobia, na ktoré sa vzťahoval systém sociálneho zabezpečenia v zasielajúcom členskom štáte
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Obdobie
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Dátum začiatku
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Dátum ukončenia
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Nezahrnuté obdobia
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Nezahrnuté obdobie
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Dátum začiatku
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Dátum ukončenia
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Obdobia nároku
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Nárok na rodinné dávky, ak áno
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Ak nie je nárok, vyberte jeden dôvod
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Obdobie nároku na rodinné dávky
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Obdobie nároku na rodinnú dávku
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Dátum začiatku
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Dátum ukončenia
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Dôvod
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Iný dôvod
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Informácie o manželovi(-ke) alebo partnerovi(-ke)
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Identifikácia osoby
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Priezvisko(-á)
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Meno(-á)
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Dátum narodenia
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Pohlavie
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Rodné priezvisko(-á)
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Meno(-á)
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PIN osoby v každej inštitúcii
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Osobné identifikačné číslo(-a)
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Štát
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Osobné identifikačné číslo (PIN)
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Sektor
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Inštitúcia
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Identifikácia inštitúcie
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Názov inštitúcie
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Ak nie je pre každú inštitúciu zadaný PIN, zadajte
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Miesto narodenia
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Mesto
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Okres
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Štát
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Rodné priezvisko otca
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Meno otca
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Rodné priezvisko matky
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Meno matky
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Doplňujúce informácie o štátnej príslušnosti
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Štátne príslušnosti
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Štátna príslušnosť
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Od
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Adresy osoby
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Adresa osoby
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Druh adresy
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Adresa
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Ulica
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Názov budovy
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Mesto
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Poštové smerovacie číslo
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Okres
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Štát
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Kontaktné údaje
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Telefónne čísla
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Telefónne číslo
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Druh
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Číslo
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E-mailové adresy
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E-mailová adresa
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E-mailová adresa
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Krytie systémom sociálneho zabezpečenia
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Obdobia, na ktoré sa vzťahoval systém sociálneho zabezpečenia v zasielajúcom členskom štáte
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Obdobie
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Dátum začiatku
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Dátum ukončenia
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Nezahrnuté obdobia
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Nezahrnuté obdobie
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Dátum začiatku
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Dátum ukončenia
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Obdobia nároku
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Nárok na rodinné dávky, ak áno
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Ak nie je nárok, vyberte jeden dôvod
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Obdobie nároku na rodinné dávky
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Obdobie nároku na rodinnú dávku
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Dátum začiatku
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Dátum ukončenia
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Dôvod
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Iný dôvod
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Informácie o druhej osobe
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Identifikácia osoby
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Priezvisko(-á)
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Meno(-á)
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Dátum narodenia
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Pohlavie
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Rodné priezvisko(-á)
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Meno(-á)
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PIN osoby v každej inštitúcii
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Osobné identifikačné číslo(-a)
*
[ CC ]
Štát
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Osobné identifikačné číslo (PIN)
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Sektor
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Inštitúcia
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Identifikácia inštitúcie
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Názov inštitúcie
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Ak nie je pre každú inštitúciu zadaný PIN, zadajte
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Miesto narodenia
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Mesto
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Okres
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Štát
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Rodné priezvisko otca
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Meno otca
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Rodné priezvisko matky
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Meno matky
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Doplňujúce informácie o štátnej príslušnosti
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Štátne príslušnosti
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Štátna príslušnosť
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Od
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Adresy osoby
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Adresa osoby
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Druh adresy
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Adresa
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Ulica
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Názov budovy
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Mesto
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Poštové smerovacie číslo
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Okres
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Štát
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Kontaktné údaje
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Telefónne čísla
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Telefónne číslo
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Druh
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Číslo
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E-mailové adresy
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E-mailová adresa
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E-mailová adresa
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Krytie systémom sociálneho zabezpečenia
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Obdobia, na ktoré sa vzťahoval systém sociálneho zabezpečenia v zasielajúcom členskom štáte
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Obdobie
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Dátum začiatku
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[ BDT ]
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Dátum ukončenia
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Nezahrnuté obdobia
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Nezahrnuté obdobie
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Dátum začiatku
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Dátum ukončenia
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Obdobia nároku
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Nárok na rodinné dávky, ak áno
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Ak nie je nárok, vyberte jeden dôvod
[ SC ]
Obdobie nároku na rodinné dávky
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Obdobie nároku na rodinnú dávku
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Dátum začiatku
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Dátum ukončenia
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Dôvod
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Iný dôvod
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Žiadajúci orgán
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Dôvod na žiadosť orgánu
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Žiadajúci orgán
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Identifikácia inštitúcie
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Názov inštitúcie
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Bankové údaje
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Účet SEPA
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Účet iný ako SEPA
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IBAN
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BIC-SWIFT
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Číslo účtu
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BIC-SWIFT
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Názov banky
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Adresa banky
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Ulica
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Názov budovy
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Mesto
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Poštové smerovacie číslo
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Okres
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Štát
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[ ENUM ]
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Informácie o dieťati/deťoch
*
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Dieťa
*
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Údaje o dieťati
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Priezvisko(-á)
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Meno(-á)
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Dátum narodenia
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Pohlavie
*
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[ ENUM ]
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Rodné priezvisko(-á)
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Meno(-á)
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PIN osoby v každej inštitúcii
[ CC ]
Osobné identifikačné číslo(-a)
*
[ CC ]
Štát
*
{{$select.selected[ 'name']}}
[ ENUM ]
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Osobné identifikačné číslo (PIN)
*
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Sektor
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[ ENUM ]
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Inštitúcia
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Identifikácia inštitúcie
*
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Názov inštitúcie
*
[ CDT ]
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Ak nie je pre každú inštitúciu zadaný PIN, zadajte
[ CC ]
Miesto narodenia
[ CC ]
Mesto
*
[ CDT ]
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Okres
[ CDT ]
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Štát
*
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[ ENUM ]
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Rodné priezvisko otca
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Meno otca
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Rodné priezvisko matky
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Meno matky
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Doplňujúce informácie o štátnej príslušnosti
[ SC ]
Štátne príslušnosti
[ SC ]
Štátna príslušnosť
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Od
[ BDT ]
{{metaSection.since.$$error}}
{{metaSection.since.$$warning}}
Adresy dieťaťa
[ SC ]
Adresa osoby
[ SC ]
Druh adresy
{{option.name}}
[ ENUM ]
{{metaSection.typeAddress.$$error}}
{{metaSection.typeAddress.$$warning}}
Adresa
[ CC ]
Ulica
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Názov budovy
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Mesto
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Poštové smerovacie číslo
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Okres
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Štát
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}