H021 - Tweġiba għal Pretensjoni għal Rimborż - Kontroll Amministrattiv /Informazzjoni Medika
L-Artikolu 87 tar-Regolament (KE) Nru 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Pretensjoni Globali
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[ SED ]
Istituzzjoni kreditriċi
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[ CC ]
ID tal-istituzzjoni
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[ BDT ]
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{{metaSection.institutionID.$$warning}}
Isem l-istituzzjoni
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[ CDT ]
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Referenza Globali stabbilita mill-Istituzzjoni Kreditriċi
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[ CDT ]
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Referenza Globali stabbilita mill-Istituzzjoni Debitriċi
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[ CDT ]
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L-għadd totali ta’ fatturi
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[ PRIM ]
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{{metaSection.totalNumberInvoices.$$warning}}
Pagament
[ SED ]
Ammont totali ta' pretensjonijiet fil-munita tal-istituzzjoni kreditriċi
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[ CC ]
Ammont
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[ BDT ]
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Munita
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[ ENUM ]
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L-Ammont Totali tal-Pretensjoni Rifjutata fil-Munita tal-Kreditur
[ CC ]
Ammont
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[ BDT ]
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Munita
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[ ENUM ]
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Pagament Totali fil-Munita tal-Kreditur
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[ CC ]
Ammont
*
[ BDT ]
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Munita
*
{{$select.selected[ 'name']}}
[ ENUM ]
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Referenza tal-pagament għal trasferiment lejn l-istituzzjoni kreditriċi
[ CDT ]
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{{metaSection.paymentReferenceForTransferCreditorInstitution.$$warning}}
Pretensjoni
[ SED ]
Persuna
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[ CC ]
Tagħrif dwar il-Persuna
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[ CC ]
Kunjom(ijiet)
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[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Isem/ismijiet
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[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Data tat-twelid
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[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Sess
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{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Kunjom(ijiet) tat-twelid
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Isem/ismijiet tat-twelid
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
Numru tal-Identifikazzjoni Personali
*
[ CC ]
PIN tal-persuna fl-Istat Membru Kompetenti
*
[ BDT ]
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{{metaSection.pINPersonInCompetentMemberState.$$warning}}
PIN tal-persuna fl-Istat Membru tas-Soġġorn jew tar-Residenza
[ BDT ]
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{{metaSection.pINPersonInMemberStateStayOrResidence.$$warning}}
Rimborż
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[ SED ]
B’referenza għad-dokument tagħna
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{{option.name}}
[ ENUM ]
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{{metaSection.inReferenceOur.$$warning}}
Maħruġ fi
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[ BDT ]
{{metaSection.issuedOn.$$error}}
{{metaSection.issuedOn.$$warning}}
Numru tal-Fattura tal-istituzzjoni kreditriċi
*
[ CDT ]
{{metaSection.invoiceNumberCreditorInstitution.$$error}}
{{metaSection.invoiceNumberCreditorInstitution.$$warning}}
L-ammont tal-fattura fil-munita tal-istituzzjoni kreditriċi
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[ CC ]
Ammont
*
[ BDT ]
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{{metaSection.amount.$$warning}}
Munita
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
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Ċaħda:
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[ ENUM ]
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Dettall ta’ Rifjut Parzjali jew Sħiħ
[ SED ]
L-Ammont tal-Fattura Rifjutata fil-munita tal-istituzzjoni kreditriċi
[ CC ]
Ammont
*
[ BDT ]
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{{metaSection.amount.$$warning}}
Munita
*
{{$select.selected[ 'name']}}
[ ENUM ]
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Raġuni għar-rifjut
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[ ENUM ]
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Jekk jogħġbok imla dan li ġej jekk “Raġuni għar-rifjut” = “Oħra”
[ SED ]
Oħrajn
[ CDT ]
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