U029 - Talba ta’ rimborż emendata b’reazzjoni għall-kontestazzjoni
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
*
{{$select.selected[ 'name']}}
[ 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}}
Tagħrif ġenerali
*
[ SED ]
ID tar-rikjesta ta’ rimborż
*
[ BDT ]
{{metaSection.reimbursementRequestID.$$error}}
{{metaSection.reimbursementRequestID.$$warning}}
ID tal-kontestazzjoni tar-rimborż
*
[ BDT ]
{{metaSection.reimbursementContestationID.$$error}}
{{metaSection.reimbursementContestationID.$$warning}}
ID tat-talba ta’ rimborż emendata
*
[ BDT ]
{{metaSection.amendedReimbursementRequestID.$$error}}
{{metaSection.amendedReimbursementRequestID.$$warning}}
Ammont totali mitlub aġġornat
*
[ CC ]
Ammont
*
[ BDT ]
{{metaSection.amount.$$error}}
{{metaSection.amount.$$warning}}
Munita
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
{{metaSection.currency.$$warning}}
Talbiet Individwali
*
[ SED ]
Talba Individwali
*
[ SED ]
ID tar-rikjesta ta’ rimborż
*
[ BDT ]
{{metaSection.reimbursementRequestID.$$error}}
{{metaSection.reimbursementRequestID.$$warning}}
ID tal-kontestazzjoni tar-rimborż
*
[ BDT ]
{{metaSection.reimbursementContestationID.$$error}}
{{metaSection.reimbursementContestationID.$$warning}}
ID tat-talba ta’ rimborż emendata
*
[ BDT ]
{{metaSection.amendedReimbursementRequestID.$$error}}
{{metaSection.amendedReimbursementRequestID.$$warning}}
Numru sekwenzjali ta’ talbiet Individwali
*
[ BDT ]
{{metaSection.sequentialNumberIndividualClaim.$$error}}
{{metaSection.sequentialNumberIndividualClaim.$$warning}}
ID tat-talba individwali kkontestata
[ BDT ]
{{metaSection.contestedIndividualClaimID.$$error}}
{{metaSection.contestedIndividualClaimID.$$warning}}
ID tat-talba individwali kkontestata emendata
*
[ BDT ]
{{metaSection.amendedContestedIndividualClaimID.$$error}}
{{metaSection.amendedContestedIndividualClaimID.$$warning}}
Status tat-talba individwali
*
[ SED ]
Status
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.status.$$error}}
{{metaSection.status.$$warning}}
Jekk jogħġbok imla dan li ġej jekk “Status” = “06 - Qed jiġi Kkontestat” :
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Raġunijiet
[ CDT ]
{{metaSection.reasoning.$$error}}
{{metaSection.reasoning.$$warning}}
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
*
{{option.name}}
[ 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
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Numru ta' identifikazzjoni personali (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Settur
{{$select.selected[ 'name']}}
[ 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}}
Jekk il-PIN ma ġiex ipprovdut għal kull istituzzjoni, jekk jogħġbok ipprovdi
[ CC ]
Post tat-twelid
[ CC ]
Belt
*
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{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Reġjun
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{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Pajjiż
*
{{$select.selected[ 'name']}}
[ 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}}
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 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
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
{{metaSection.currency.$$warning}}