Kompensavimo reikalavimas

U020 - Kompensavimo reikalavimas
Reglamento (EB) Nr. 883/2004 65 straipsnio 6 dalis, 65 straipsnio 7 dalis, Reglamento (EB) Nr. 987/2009 70 straipsnis

SED API version: 0.16.2 build 2
Model version: 4.2.0

Bylos numeris įstaigoje [ CC ]

Vietinis bylos numeris [ CC ]

Šalis *

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

Bylos numeris *

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

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Vietinis bylos numeris

Bendra informacija * [ SED ]

Kompensavimo reikalavimo identifikavimo numeris *

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

Atskirų reikalavimų skaičius *

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

Visa prašoma suma * [ CC ]

Suma *

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

Valiuta *

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

Banko duomenys * [ SC ]

SEPA banko duomenys * [ CC ]

IBAN *

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

SWIFT (BIC)

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

Banko pavedimas: dalykas arba pervedimo numeris *

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

Atskiri reikalavimai * [ SED ]

Atskiras reikalavimas * [ SED ]

Asmuo * [ SC ]

Asmens tapatybės duomenys * [ CC ]

Pavardė (-ės) *

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

Vardas (-ai) *

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

Gimimo data *

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

Lytis *

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

Pavardė (-ės) (gimus)

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

Vardas (-ai) gimus

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

Asmens PIN kiekvienoje įstaigoje [ CC ]

Asmens identifikavimo numeris (-iai) * [ CC ]

Šalis *

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

Asmens identifikavimo numeris (-iai) *

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

Sektorius

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

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Asmens identifikavimo numeris (-iai)

Jei PIN nepateiktas kiekvienai įstaigai, pateikite [ CC ]

Gimimo vieta [ CC ]

Miestas *

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

Rajonas

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

Šalis *

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

Tėvo pavardė (gimus)

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

Tėvo vardas

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

Motinos pavardė (gimus)

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

Motinos vardas

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

Papildoma informacija apie asmenį [ SC ]

Pilietybė

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

Kompensavimo reikalavimo identifikavimo numeris *

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

Nuoseklusis atskiro reikalavimo numeris *

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

Įrašus apie draudimo įmokas patvirtinusi įstaiga * [ CC ]

Įstaigos identifikavimo numeris *

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

Įstaigos pavadinimas *

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

Darbo laikotarpiai, į kuriuos atsižvelgta * [ SED ]

Darbo laikotarpis, į kurį atsižvelgta * [ CC ]

Pradžios data *

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

Pabaigos data *

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

Darbo laikotarpis, į kurį atsižvelgta

Kompensavimo laikotarpis * [ CC ]

Pradžios data *

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

Pabaigos data *

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

Paskutinio mokėjimo data *

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

Prašoma kompensavimo suma * [ CC ]

Suma *

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

Valiuta *

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

Atskiras reikalavimas

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U020 - Kompensavimo reikalavimas Reglamento (EB) Nr. 883/2004 65 straipsnio 6 dalis, 65 straipsnio 7 dalis, Reglamento (EB) Nr. 987/2009 70 straipsnis

U020 - Kompensavimo reikalavimas
Reglamento (EB) Nr. 883/2004 65 straipsnio 6 dalis, 65 straipsnio 7 dalis, Reglamento (EB) Nr. 987/2009 70 straipsnis