S040 - Zahteva za dobe - vrsta zavarovalnega tveganja: bolezen, materinstvo ali očetovstvo
Člen 6 Uredbe (ES) št. 883/2004 in člen 12(1) Uredbe (ES) št. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Oseba
*
[ SC ]
Identifikacija osebe
*
[ 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}}
PIN osebe pri posameznem nosilcu
[ CC ]
Osebna identifikacijska številka/številke
*
[ CC ]
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Osebna identifikacijska številka (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Področje
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.sector.$$error}}
{{metaSection.sector.$$warning}}
Nosilec
[ CC ]
Identifikacijska številka nosilca
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Ime nosilca
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Če PIN za posameznega nosilca ni naveden, ga navedite
[ CC ]
Kraj rojstva
[ CC ]
Kraj
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Regija
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Očetov priimek ob rojstvu
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Očetovo ime
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Materin priimek ob rojstvu
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Materino ime
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Dodatne informacije o osebi
[ SC ]
Državljanstvo
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Naslov osebe
[ SC ]
Naslov
*
[ CC ]
Ulica
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Stavba
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Kraj
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Poštna številka
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Regija
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Stalno prebivališče v tej državi od
[ BDT ]
{{metaSection.residenceInThisCountrySince.$$error}}
{{metaSection.residenceInThisCountrySince.$$warning}}
Zahtevek
*
[ SED ]
V vlogi pristojnega nosilca, katerega zakonodaja ureja pridobitev, ohranitev, trajanje ali ponovno pridobitev pravice do dajatev na podlagi dopolnitve dob, vas prosimo, da potrdite ustrezne zavarovalne dobe, dobe zaposlitve, samozaposlitve ali prebivanja, dopolnjene na podlagi vaše zakonodaje v zadevnem obdobju.
[ SED ]
Vrsta zadevne dajatve
*
{{option.name}}
[ ENUM ]
{{metaSection.typeBenefitConcerned.$$error}}
{{metaSection.typeBenefitConcerned.$$warning}}
Vrsta zadevne dajatve
*
{{option.name}}
[ ENUM ]
{{metaSection.natureBenefitConcerned.$$error}}
{{metaSection.natureBenefitConcerned.$$warning}}
Zadevno obdobje
*
[ CC ]
Zaključeno obdobje
*
[ CC ]
Odprto obdobje
*
[ CC ]
Datum od
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Datum do
*
[ BDT ]
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Vrsta odprtega obdobja
*
{{option.name}}
[ ENUM ]
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Datum od
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Dodatne informacije
[ SC ]
Dodatne informacije
[ CDT ]
{{metaSection.additionalInformation.$$error}}
{{metaSection.additionalInformation.$$warning}}