Talba ta’ Rimborż

U020 - Talba ta’ Rimborż
L-Artikoli 65(6), 65(7) tar-Regolament (KE) Nru 883/2004, l-Artikolu 70 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

Tagħrif ġenerali * [ SED ]

ID tar-rikjesta ta’ rimborż *

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

Numru ta' każijiet individwali *

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

Ammont totali mitlub * [ CC ]

Ammont *

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

Munita *

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

Tagħrif 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}}

Trasferiment Bankarju: referenza tas-suġġett jew tat-tranżazzjoni *

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

Talbiet Individwali * [ SED ]

Pretensjoni Individwali * [ SED ]

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}}

ID tar-rikjesta ta’ rimborż *

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

Numru sekwenzjali ta’ pretensjonijiet Individwali *

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

Istituzzjoni li ċċertifikat ir-rekord tal-assigurazzjoni * [ CC ]

ID tal-istituzzjoni *

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

Isem l-istituzzjoni *

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

Perjodi tax-xogħol ikkunsidrati * [ SED ]

Perjodu tax-xogħol ikkunsidrat * [ CC ]

Data tal-bidu *

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

Data tat-tmiem *

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

Perjodu tax-xogħol ikkunsidrat

Perjodu ta’ rimborż * [ CC ]

Data tal-bidu *

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

Data tat-tmiem *

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

L-aħħar data tal-pagament *

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

Ammont mitlub għar-rimborż * [ CC ]

Ammont *

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

Munita *

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

Pretensjoni Individwali

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U020 - Talba ta’ Rimborż L-Artikoli 65(6), 65(7) tar-Regolament (KE) Nru 883/2004, l-Artikolu 70 tar-Regolament (KE) Nru 987/2009

U020 - Talba ta’ Rimborż
L-Artikoli 65(6), 65(7) tar-Regolament (KE) Nru 883/2004, l-Artikolu 70 tar-Regolament (KE) Nru 987/2009