H020 - Zahtevek za povračilo - upravno preverjanje/zdravniški pregled
Člen 87 Uredbe (ES) št. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Skupna terjatev
*
[ SED ]
Nosilec, upravičen do terjatev
*
[ CC ]
Identifikacijska številka nosilca
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Ime nosilca
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Zbirna referenca, ki jo določi nosilec, upravičen do terjatev
*
[ CDT ]
{{metaSection.globalReferenceSetByCreditorInstitution.$$error}}
{{metaSection.globalReferenceSetByCreditorInstitution.$$warning}}
Skupno število računov
*
[ PRIM ]
{{metaSection.totalNumberInvoices.$$error}}
{{metaSection.totalNumberInvoices.$$warning}}
Skupni znesek terjatev v valuti nosilca, upravičenega do terjatev
*
[ SED ]
Znesek
*
[ BDT ]
{{metaSection.amount.$$error}}
{{metaSection.amount.$$warning}}
Valuta
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
{{metaSection.currency.$$warning}}
Plačilo zapade
[ BDT ]
{{metaSection.paymentDueOn.$$error}}
{{metaSection.paymentDueOn.$$warning}}
Nosilec, pristojen za izplačilo
[ CC ]
Identifikacijska številka nosilca
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Ime nosilca
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Podatki o banki
[ CC ]
IBAN
*
[ BDT ]
{{metaSection.IBAN.$$error}}
{{metaSection.IBAN.$$warning}}
BIC-SWIFT
[ BDT ]
{{metaSection.BICSWIFT.$$error}}
{{metaSection.BICSWIFT.$$warning}}
Zahtevek
[ SED ]
Oseba
*
[ CC ]
Informacije o osebi
*
[ CC ]
Priimek/priimki
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Ime/imena
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Datum rojstva
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Spol
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Priimek/priimki ob rojstvu
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Ime/imena ob rojstvu
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
Identifikacijska številka osebe
*
[ CC ]
PIN osebe v pristojni državi članici
*
[ BDT ]
{{metaSection.pINPersonInCompetentMemberState.$$error}}
{{metaSection.pINPersonInCompetentMemberState.$$warning}}
PIN osebe v državi članici začasnega ali stalnega prebivališča
[ BDT ]
{{metaSection.pINPersonInMemberStateStayOrResidence.$$error}}
{{metaSection.pINPersonInMemberStateStayOrResidence.$$warning}}
Povračilo
*
[ SED ]
V zvezi z vašo(-im)
*
{{option.name}}
[ ENUM ]
{{metaSection.inReferenceYour.$$error}}
{{metaSection.inReferenceYour.$$warning}}
Datum izdaje
*
[ BDT ]
{{metaSection.issuedOn.$$error}}
{{metaSection.issuedOn.$$warning}}
Številka računa nosilca, upravičenega do terjatev
*
[ CDT ]
{{metaSection.invoiceNumberCreditorInstitution.$$error}}
{{metaSection.invoiceNumberCreditorInstitution.$$warning}}
Znesek računa v valuti nosilca, upravičenega do terjatev
*
[ CC ]
Znesek
*
[ BDT ]
{{metaSection.amount.$$error}}
{{metaSection.amount.$$warning}}
Valuta
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
{{metaSection.currency.$$warning}}