R036 - Verstrekking van aanvullende informatie
Artikel 78, 80, lid 2, 81, lid 2, 82, 83 of 84 van Verordening EG nr. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Lokale dossiernummers
[ CC ]
Lokaal dossiernummer
[ CC ]
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Zaaknummer
*
[ CDT ]
{{metaSection.caseNumber.$$error}}
{{metaSection.caseNumber.$$warning}}
Orgaan
[ CC ]
Identificatienummer van het orgaan
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Naam orgaan
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Betreft
*
[ SC ]
Betreft
*
{{option.name}}
[ ENUM ]
{{metaSection.concerns.$$error}}
{{metaSection.concerns.$$warning}}
Gelieve in te vullen als "Betreft" = "Persoon":
[ SED ]
Gelieve in te vullen als "Betreft" = "Werkgever":
[ SC ]
Personen
[ SC ]
Persoon
*
[ SC ]
Identificatie persoon
*
[ CC ]
Achternaam/-namen
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Voornaam/-namen
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Geboortedatum
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Geslacht
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Achternaam/-namen bij de geboorte
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Voornaam/-namen bij de geboorte
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
PIN van de persoon bij elk orgaan
[ CC ]
Persoonlijk(e) identificatienummer(s)
*
[ CC ]
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Persoonlijk identificatienummer (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Sector
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.sector.$$error}}
{{metaSection.sector.$$warning}}
Orgaan
[ CC ]
Identificatienummer van het orgaan
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Naam orgaan
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Indien niet voor elke instantie PIN is vermeld, invullen a.u.b.
[ CC ]
Geboorteplaats
[ CC ]
Plaats
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Regio
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Familienaam vader bij de geboorte
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Voornaam vader
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Achternaam moeder bij de geboorte
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Voornaam moeder
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Aanvullende informatie over een persoon
*
[ SC ]
Status van de persoon
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.statusPerson.$$error}}
{{metaSection.statusPerson.$$warning}}
Gelieve in te vullen als "Status van de persoon" = "Andere":
[ SC ]
Andere status van de persoon
[ CDT ]
{{metaSection.otherStatusPerson.$$error}}
{{metaSection.otherStatusPerson.$$warning}}
Nationaliteit
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Vroegere achternaam/-namen
[ SC ]
Vroegere achternaam/-namen
[ SC ]
Vroegere achternaam/-namen
[ BDT ]
{{metaSection.previousFamilyName.$$error}}
{{metaSection.previousFamilyName.$$warning}}
Vorige voornamen
[ SC ]
Vroegere voornaam
[ SC ]
Vroegere voornaam
[ BDT ]
{{metaSection.previousForename.$$error}}
{{metaSection.previousForename.$$warning}}
Huidige gezinssituatie
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currentFamilyStatus.$$error}}
{{metaSection.currentFamilyStatus.$$warning}}
Datum van overlijden
[ BDT ]
{{metaSection.dateDeath.$$error}}
{{metaSection.dateDeath.$$warning}}
Werkgever
*
[ CC ]
Naam
*
[ CDT ]
{{metaSection.name.$$error}}
{{metaSection.name.$$warning}}
Identificatienummers
[ CC ]
Identificatienummer
[ CC ]
Nummer
*
[ CDT ]
{{metaSection.number.$$error}}
{{metaSection.number.$$warning}}
Soort
*
{{option.name}}
[ ENUM ]
{{metaSection.type.$$error}}
{{metaSection.type.$$warning}}
Adres
[ CC ]
Straat
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Naam van het gebouw
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Plaats
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Postcode
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Regio
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Verantwoordelijke persoon of afdeling
[ SC ]
Verantwoordelijke persoon of afdeling
[ CDT ]
{{metaSection.responsiblePersonOrSection.$$error}}
{{metaSection.responsiblePersonOrSection.$$warning}}
Contactgegevens
[ CC ]
Telefoonnummers
[ CC ]
Telefoonnummer
[ CC ]
Soort
{{option.name}}
[ ENUM ]
{{metaSection.type.$$error}}
{{metaSection.type.$$warning}}
Nummer
*
[ BDT ]
{{metaSection.number.$$error}}
{{metaSection.number.$$warning}}
E-mailadressen
[ CC ]
E-mailadres
[ CC ]
E-mailadres
[ BDT ]
{{metaSection.email.$$error}}
{{metaSection.email.$$warning}}
Personen
[ SC ]
Persoon
*
[ SC ]
Identificatie persoon
*
[ CC ]
Achternaam/-namen
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Voornaam/-namen
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Geboortedatum
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Geslacht
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Achternaam/-namen bij de geboorte
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Voornaam/-namen bij de geboorte
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
PIN van de persoon bij elk orgaan
[ CC ]
Persoonlijk(e) identificatienummer(s)
*
[ CC ]
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Persoonlijk identificatienummer (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Sector
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.sector.$$error}}
{{metaSection.sector.$$warning}}
Orgaan
[ CC ]
Identificatienummer van het orgaan
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Naam orgaan
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Indien niet voor elke instantie PIN is vermeld, invullen a.u.b.
[ CC ]
Geboorteplaats
[ CC ]
Plaats
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Regio
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Land
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Familienaam vader bij de geboorte
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Voornaam vader
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Achternaam moeder bij de geboorte
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Voornaam moeder
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Aanvullende informatie over een persoon
*
[ SC ]
Status van de persoon
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.statusPerson.$$error}}
{{metaSection.statusPerson.$$warning}}
Gelieve in te vullen als "Status van de persoon" = "Andere":
[ SC ]
Andere status van de persoon
[ CDT ]
{{metaSection.otherStatusPerson.$$error}}
{{metaSection.otherStatusPerson.$$warning}}
Nationaliteit
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Vroegere achternaam/-namen
[ SC ]
Vroegere achternaam/-namen
[ SC ]
Vroegere achternaam/-namen
[ BDT ]
{{metaSection.previousFamilyName.$$error}}
{{metaSection.previousFamilyName.$$warning}}
Vorige voornamen
[ SC ]
Vroegere voornaam
[ SC ]
Vroegere voornaam
[ BDT ]
{{metaSection.previousForename.$$error}}
{{metaSection.previousForename.$$warning}}
Huidige gezinssituatie
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currentFamilyStatus.$$error}}
{{metaSection.currentFamilyStatus.$$warning}}
Datum van overlijden
[ BDT ]
{{metaSection.dateDeath.$$error}}
{{metaSection.dateDeath.$$warning}}
Termijnbedrag
[ SED ]
Betaling in termijnen
[ SED ]
Voorstel betreffende termijnen (uiteengezet in R018) aanvaard?
{{option.name}}
[ ENUM ]
{{metaSection.instalmentProposalSpecifiedInR018AcceptedIndicator.$$error}}
{{metaSection.instalmentProposalSpecifiedInR018AcceptedIndicator.$$warning}}
Indien "nee", zijn de volgende voorwaarden aanvaardbaar
[ SC ]
Termijnbedrag in de munteenheid van het aangeschreven orgaan
[ PRIM ]
{{metaSection.instalmentAmountInCurrencyRequestedInstitution.$$error}}
{{metaSection.instalmentAmountInCurrencyRequestedInstitution.$$warning}}
Aantal termijnen
[ PRIM ]
{{metaSection.numberInstalments.$$error}}
{{metaSection.numberInstalments.$$warning}}
Begindatum
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Einddatum
[ BDT ]
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Betaling vooraf
[ PRIM ]
{{metaSection.prePayment.$$error}}
{{metaSection.prePayment.$$warning}}
Aanvullende informatie
[ SC ]
Aanvullende informatie
[ CDT ]
{{metaSection.additionalInformation.$$error}}
{{metaSection.additionalInformation.$$warning}}