Talba għal rati ta’ rimborż

S067 - Talba għal rati ta’ rimborż - soġġorn
L-Artikoli 19, 20, 27 tar-Regolament (KE) Nru 883/2004; l-Artikoli 25 u 26 tar-Regolament (KE) Nru 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

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 il-persuna [ SC ]

Nazzjonalità

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

Tagħrif dwar il-kura * [ SED ]

Kura li saret fi (belt)

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

Tip ta' Kura *

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

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

S067 - Talba għal rati ta’ rimborż - soġġorn L-Artikoli 19, 20, 27 tar-Regolament (KE) Nru 883/2004; l-Artikoli 25 u 26 tar-Regolament (KE) Nru 987/2009

S067 - Talba għal rati ta’ rimborż - soġġorn
L-Artikoli 19, 20, 27 tar-Regolament (KE) Nru 883/2004; l-Artikoli 25 u 26 tar-Regolament (KE) Nru 987/2009