Talba għal rimborż tal-kostijiet

R028 - Talba għal rimborż tal-kostijiet
L-Artikolu 85(2) u 85(3) tar-Regolament (KE) Nru 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Numri tal-każijiet lokali [ CC ]

Numru tal-Każ Lokali [ CC ]

Pajjiż *

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

Numru tal-Każ *

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

Istituzzjoni

[ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Numru tal-Każ Lokali

Rigward * [ SC ]

Rigward *

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

Jekk jogħġbok imla li ġej jekk "Jirrigwardaw" = "Persuna": [ SED ]

Jekk jogħġbok imla li ġej jekk "Jirrigwardaw" = "Impjegatur": [ SC ]

Persuni [ SC ]

Persuna * [ SC ]

Identifikazzjoni tal-persuna * [ CC ]

Kunjom(ijiet) *

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

Isem/ismijiet *

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

Data tat-twelid *

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

Sess *

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

Kunjom(ijiet) mat-twelid

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

Isem/ismijiet mat-twelid

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

PIN tal-persuna f’kull istituzzjoni

[ CC ]

Numru/i ta' Identifikazzjoni Personali * [ CC ]

Pajjiż *

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

Numru ta' identifikazzjoni personali (PIN) *

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

Settur

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

Istituzzjoni

[ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Numru/i ta' Identifikazzjoni Personali

Jekk il-PIN ma ġiex ipprovdut għal kull istituzzjoni, jekk jogħġbok ipprovdi

[ CC ]

Post tat-twelid

[ CC ]

Belt *

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

Reġjun

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

Pajjiż *

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

Kunjom il-missier mat-twelid

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

Isem il-missier

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

Kunjom l-omm mat-twelid

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

Isem l-omm

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

Tagħrif addizzjonali dwar persuna * [ SC ]

Status tal-persuna *

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

Jekk jogħġbok imla li ġej jekk “Status tal-persuna” = “Ieħor”: [ SC ]

Status ieħor tal-persuna

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

Nazzjonalità

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

Kunjom(ijiet) preċedenti [ SC ]

Kunjom(ijiet) preċedenti

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

Kunjom(ijiet) preċedenti

Ismijiet preċedenti [ SC ]

Isem preċedenti [ SC ]

Isem preċedenti

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

Isem preċedenti

Status attwali tal-familja

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

Data tal-mewt

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

Persuna

Impjegatur *

[ CC ]

Isem *

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

Numri ta’ identifikazzjoni

[ CC ]

Numru ta’ identifikazzjoni

[ CC ]

Għadd *

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

Tip *

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

Numru ta’ identifikazzjoni

Indirizz

[ CC ]

Triq

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

Isem il-Bini

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

Belt *

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

Kodiċi postali

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

Reġjun

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

Pajjiż *

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

Persuna responsabbli jew taqsima [ SC ]

Persuna responsabbli jew taqsima

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

Tagħrif ta’ kuntatt [ CC ]

Numri tal-Telefown [ CC ]

Numru tat-Telefown [ CC ]

Tip

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

Għadd *

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

Numru tat-Telefown

Indirizzi tal-posta elettronika [ CC ]

Indirizz tal-Posta Elettronika [ CC ]

Indirizz tal-Posta Elettronika

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

Indirizz tal-Posta Elettronika

Persuni

[ SC ]

Persuna * [ SC ]

Identifikazzjoni tal-persuna * [ CC ]

Kunjom(ijiet) *

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

Isem/ismijiet *

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

Data tat-twelid *

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

Sess *

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

Kunjom(ijiet) mat-twelid

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

Isem/ismijiet mat-twelid

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

PIN tal-persuna f’kull istituzzjoni

[ CC ]

Numru/i ta' Identifikazzjoni Personali * [ CC ]

Pajjiż *

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

Numru ta' identifikazzjoni personali (PIN) *

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

Settur

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

Istituzzjoni

[ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Numru/i ta' Identifikazzjoni Personali

Jekk il-PIN ma ġiex ipprovdut għal kull istituzzjoni, jekk jogħġbok ipprovdi

[ CC ]

Post tat-twelid

[ CC ]

Belt *

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

Reġjun

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

Pajjiż *

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

Kunjom il-missier mat-twelid

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

Isem il-missier

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

Kunjom l-omm mat-twelid

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

Isem l-omm

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

Tagħrif addizzjonali dwar persuna * [ SC ]

Status tal-persuna *

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

Jekk jogħġbok imla li ġej jekk “Status tal-persuna” = “Ieħor”: [ SC ]

Status ieħor tal-persuna

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

Nazzjonalità

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

Kunjom(ijiet) preċedenti [ SC ]

Kunjom(ijiet) preċedenti

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

Kunjom(ijiet) preċedenti

Ismijiet preċedenti [ SC ]

Isem preċedenti [ SC ]

Isem preċedenti

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

Isem preċedenti

Status attwali tal-familja

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

Data tal-mewt

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

Persuna

Raġunijiet għat-talba * [ SED ]

Ir-rimborż qed jintalab skont *

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

Spejjeż u/jew telf attwali

[ SED ]

Ammonti fil-munita għal kull istituzzjoni# [ SED ]

Ammonti fil-munita [ SED ]

ID tal-istituzzjoni *

[ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Munita

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

Spejjeż

[ PRIM ] {{metaSection.costs.$$error}} {{metaSection.costs.$$warning}}

Telf

[ PRIM ] {{metaSection.losses.$$error}} {{metaSection.losses.$$warning}}

Total

[ PRIM ] {{metaSection.total.$$error}} {{metaSection.total.$$warning}}

Ammonti fil-munita

Ir-rimborż qed jintalab għal

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

Tagħrif addizzjonali [ SC ]

Tagħrif addizzjonali

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

Spejjeż u/jew telf stmati

[ SED ]

Ammonti fil-munita għal kull istituzzjoni# [ SED ]

Ammonti fil-munita [ SED ]

ID tal-istituzzjoni *

[ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Munita

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

Spejjeż

[ PRIM ] {{metaSection.costs.$$error}} {{metaSection.costs.$$warning}}

Telf

[ PRIM ] {{metaSection.losses.$$error}} {{metaSection.losses.$$warning}}

Total

[ PRIM ] {{metaSection.total.$$error}} {{metaSection.total.$$warning}}

Ammonti fil-munita

Ftehim provviżorju għar-rimborż huwa rikjest għal

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

Tagħrif addizzjonali [ SC ]

Tagħrif addizzjonali

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

Fejn l-azzjoni ta’ rkupru ma kinitx fondata indika d-data sa meta huma mitluba l-ispejjeż/it-telf attwali

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

Jekk l-ispejjeż u/jew it-telf stmati jikkonċernaw azzjoni ta’ rkupru ulterjuri, agħti dettalji tal-azzjoni proposta

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

Jekk jogħġbok imla li ġej jekk “Tip ta’ rikjesta” = “Finali”: [ SED ]

Dettalji tal-bank [ SC ]

Dettalji tal-bank SEPA *

[ CC ]

IBAN *

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

BIC-SWIFT

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

Isem id-Detentur tal-Kont *

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

Referenza tal-pagament *

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

Qed jiġi riċevut indirizz tal-bank

[ CC ]

Triq

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

Isem il-Bini

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

Belt *

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

Kodiċi postali

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

Reġjun

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

Pajjiż *

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

Talba *

[ SED ]

Jekk jogħġbok,

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

Jekk azzjoni ta’ rkupru ulterjuri tista’ tirriżulta fi spejjeż/telf mhux imħallsin, il-kunsens tiegħek li taċċetta r-responsabbiltà li tirrimborża l-ispejjeż/telf stmati biex tkun tista’ tkompli l-azzjoni ta’ rkupru għandu jasal sa

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

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

R028 - Talba għal rimborż tal-kostijiet L-Artikolu 85(2) u 85(3) tar-Regolament (KE) Nru 987/2009

R028 - Talba għal rimborż tal-kostijiet
L-Artikolu 85(2) u 85(3) tar-Regolament (KE) Nru 987/2009