natgillin/translations-raw huggingface dataset:
In other places please mark the answer YES or NO. To be completed in the language of the doctor issuing the certificate.
Izpolniti v jeziku zdravnika, ki izdaja potrdilo.
According to Polish law, persons who are under 16 are treated as disabled if they have physical or mental impairment during an expected period exceeding 12 months, due to congenital malformation, long-term illness or bodily injury and they require permanent care or support to fulfil basic living needs, in a manner that is appropriate for a person of their age.
Po poljski zakonodaji so osebe mlajše od 16 let obravnavane kot ovirane, če traja telesna oviranost ali duševna motenost dlje kot 12 mesecev glede na prirojene nepravilnosti, dolgotrajno bolezen ali telesno poškodbo in zahtevajo trajno nego ali pomoč za zagotovitev osnovnih življenjskih potreb, na način primeren osebi te starosti.
A marked ‘YES’ in points 4.2 and 4.3 means that a person is disabled according to Polish law.
Označite z DA v točkah: 4.2 in 4.3 pomeni, da je oseba duševno motena oziroma telesno ovirana po poljski zakonodaji.
According to Polish law, persons may belong to one of three groups of disability due to physical or mental impairment: advanced, intermediate and light.
Po poljski zakonodaji so telesno ovirane oziroma duševno motene osebe razvrščene v tri skupine oviranosti: težka, srednja in lažja.
A person with advanced disability is a person who has physical impairment, who is incapable of work or capable of work under the conditions of protected labour, who is not able to live independently and requires permanent or long-term care and support from others in order to fulfil their social roles.
Oseba s težko oviranostjo je oseba, ki je telesno ovirana, nesposobna za delo ali sposobna za delo kot varovana kategorija delavcev, ni sposobna živeti samostojno in zahteva trajno ali dolgotrajno nego in pomoč drugih za zadovoljitev socialnih vlog.
A person with intermediate disability is a person who has physical impairment, who is incapable of work or capable of work under the conditions of protected labour, or who requires temporary or partial care and assistance from others in order to fulfil their social roles.
Oseba s srednjo stopnjo oviranosti je oseba, ki je telesno ovirana, nesposobna za delo ali sposobna za delo kot varovana kategorija delavcev ali potrebuje začasno ali delno nego in pomoč drugih za zadovoljitev socialnih vlog.
A marked ‘YES’ in points 4.4a, 4.5a, 4.6 or 4.4a, 4.5b, 4.6 or 4.4b, 4.5a, 4.6 or 4.4b, 4.5b, 4.6 means that a person is disabled at the advanced level; 4.7a or 4.7b or 4.8a or 4.8b means that a person is disabled at the intermediate level.
Označite z „DA“ v točkah: 4.4a, 4.5a, 4.6 ali 4.4a, 4.5b, 4.6 ali 4.4b, 4.5a, 4.6 ali 4.4b, 4.5b, 4.6 pomeni, da je oseba težko ovirana; 4.7a ali 4.7b ali 4.8a ali 4.8b pomeni, da je oseba srednje ovirana.
CERTIFICATE CONCERNING THE AGGREGATION OF PERIODS OF INSURANCE, EMPLOYMENT OR SELF-EMPLOYMENT OR CONCERNING SUCCESSIVE EMPLOYMENT IN SEVERAL MEMBER STATES, BETWEEN THE DATES ON WHICH PAYMENT IS DUE ACCORDING TO THE LEGISLATION OF THESE STATES
POTRDILO O SEŠTEVKU ZAVAROVALNIH DOB, DOB ZAPOSLITVE ALI SAMOZAPOSLITVE ALI O ZAPOREDNI ZAPOSLITVI V VEČ DRŽAVAH ČLANICAH MED DATUMI ZAPADLOSTI PLAČIL V SKLADU Z ZAKONODAJO TEH DRŽAV
Reg. 1408/71: Art. 12; Art. 72
Uredba 1408/71: čl. 12; čl. 72
Reg. 574/72: Art. 10a; Art. 85.2 and 3
Uredba 574/72: čl. 10; čl. 85.2 in 3
This certificate should be issued to the insured person at his/her request.
To potrdilo se izda na zavarovančevo zahtevo.
Where necessary, the competent institution should request it from the institution with which the insured person was last registered.
Če je potrebno, ga pristojni nosilec zahteva od nosilca, pri katerem je bila zavarovana oseba nazadnje prijavljena.
To be completed by the institution competent as regards the granting of family benefits with which the insured person is registered.
Izpolni nosilec, pristojen za dodelitev družinskih dajatev, pri katerem je zavarovana oseba prijavljena.
separated
živi ločeno
cohabiting (4) (5)
živi v zunajzakonski skupnosti (4) (5)
Address (6)
Naslov (6)
Person who should receive the family benefits
Oseba, ki naj bi prejemala družinske dajatve
Period for which the information is requested
Obdobje, za katerega se zaprosi za podatke
Name and address of employer (7)
Naziv in naslov delodajalca (7)
Nature of self-employment (7)
Vrsta samozaposlitve (7)
Institution with which the insured person was last registered as an employed or self-employed person
Nosilec, pri katerem je bila zavarovana oseba nazadnje prijavljena kot zaposlena ali samozaposlena oseba
Institution of the place of residence of the members of the family
Nosilec v kraju stalnega prebivališča družinskih članov
Institution with which the insured person is currently registered
Nosilec, pri katerem je oseba trenutno prijavljena
Address (6) …
Naslov (6) …
To be completed by the institution competent as regards the granting of family benefits with which the person was previously registered
Izpolni nosilec, ki je pristojen za dodelitev družinskih dajatev, pri katerem je bila oseba predhodno prijavljena
We certify that the insured person named in box 1
Potrjujemo, da je bila zavarovana oseba iz okvirčka 1
was insured from … to … (8) …
zavarovana od … do … (8) …
He/she is entitled
Oseba je
He/she is not entitled to family benefits
ni upravičena do družinskih dajatev
Family benefits were paid to him/her from
Družinske dajatve so se osebi izplačevale od
Family members for whom the family benefits were paid:
Družinski člani, za katere so se izplačevale družinske dajatve
Monthly amount
Mesečni znesek
Are the amounts adjusted?
Ali so zneski valorizirani?
Institution with which the insured person was last registered either as an employed or self-employed person
Nosilec, pri katerem je bila zavarovana oseba nazadnje prijavljena kot zaposlena ali samozaposlena oseba
Remarks
Opombe:
Symbol of the country to which the institution completing the form belongs: BE=Belgium; CZ=Czech Republic; DK=Denmark; DE=Germany; EE=Estonia; GR=Greece; ES=Spain; FR=France; IE=Ireland; IT=Italy; CY=Cyprus; LV=Latvia; LT=Lithuania; LU=Luxembourg; HU=Hungary; MT=Malta; NL=The Netherlands; AT=Austria; PL=Poland; PT=Portugal; SI=Slovenia; SK=Slovakia; FI=Finland; SE=Sweden; UK=United Kingdom; IS=Iceland; LI=Liechtenstein; NO=Norway; CH=Switzerland.
Oznaka države nosilca, ki izpolnjuje obrazec: BE = Belgija; CZ = Češka; DK = Danska; DE = Nemčija; EE = Estonija; GR = Grčija; ES = Španija; FR = Francija; IE = Irska; IT = Italija; CY = Ciper; LV = Latvija; LT = Litva; LU = Luksemburg; HU = Madžarska; MT = Malta; NL = Nizozemska; AT = Avstrija; PL = Poljska; PT = Portugalska; SI = Slovenija; SK = Slovaška; FI = Finska; SE = Švedska; UK = Združeno kraljestvo; IS = Islandija; LI = Lihtenštajn; NO = Norveška; CH = Švica.
In the case of Spanish nationals, state both names at birth.In the case of Portuguese nationals, state all names (forenames, surname, maiden name) in the order of civil status in which they appear on the identity card or passport.
Pri španskih državljanih navedite oba priimka ob rojstvu.Pri portugalskih državljanih navedite vsa imena (imena, priimek, dekliški priimek) glede na zaporedje osebnega statusa, kot so navedena na osebni izkaznici ali potnem listu.
For the period preceding the worker’s transfer to the Member State to whose legislation he/she is currently subject.
Za obdobje pred delavčevo premestitvijo v državo članico, katere zakonodaja zanj trenutno velja.
(8)(a) For Greek institutions, state the number of days completed in the calendar year preceding the year in which the family benefits or family allowances are applied for.
(8)(a) Za grške nosilce navedite število dopolnjenih dni v koledarskem letu pred letom, v katerem se zaprosi za družinske dajatve.
For Belgian institutions, state below the number of days as an employed or self-employed person:number of days as an employed person …
Za belgijske nosilce navedite spodaj število dni kot zaposlena oseba ali samozaposlena oseba:število dni kot zaposlena oseba: …
number of days as a self-employed person …
število dni kot samozaposlena oseba: …
For French institutions, state below the number of days and hours of employment and the gross wage/salary received:Number of days in employment
Za francoske nosilce spodaj navedite število dni in ur zaposlitve ter prejeto bruto plačoŠtevilo dni zaposlitve
Number of hours in employment
Število ur zaposlitve
Gross wage/salary received
Prejeta bruto plača
During the last month
V zadnjem mesecu
During the last three months
V zadnjih treh mesecih
During the last six months
V zadnjih šestih mesecih
Country in which the employment in question was pursued.
Država, v kateri se je opravljala navedena zaposlitev.
See ‘instructions’ on page 2
Glej navodila na 2. strani
E 405 Annex PL
Priloga k E 405 PL
CERTIFICATE CONCERNING THE PERSON ON PARENTAL LEAVE FOR THE PURPOSE OF THE GRANTING OF FAMILY BENEFITS
POTRDILO ZA OSEBE NA STARŠEVSKEM DOPUSTU ZA NAMEN DODELJEVANJA DRUŽINSKIH DAJATEV
Reg. 1408/71: Art. 12; Art. 72; Art. 73
Uredba 1408/71: čl. 12; čl. 72; čl. 73
Reg. 574/72: Art. 10a; Art. 85; Art. 86
Uredba 574/72: čl. 10a; čl. 85; čl. 86
PESEL and NIP number
PESEL in NIP številka
unmarried
neporočen
in separation
živi ločeno
common-law husband/wife (3) (4)
zunajzakonska skupnost (3) (4)
Person concerned by the certificate
Oseba na katero se nanaša potrdilo
Period to which application applies
Obdobje na katerega se nanaša vloga
Institution competent for granting family benefits
Organ pristojen za dodelitev družinskih dajatev
To be completed by the competent institution for granting family benefits where the person was previously registered.
Izpolni pristojni nosilec za dodelitev družinskih dajatev, kjer je bila oseba nazadnje prijavljena.
This is to certify that the person named in box 2
To potrjuje, da je oseba imenovana v okvirčku 2
was a wage worker in the period from … until … (6)
Delavec za plačilo v obdobju od … do … (6)
The person named in box 2
Oseba imenovana v okvirčku 2
is currently employed or works in another paid work
Je trenutno zaposlena ali opravlja drugo plačano delo
is currently on parental leave (8)
Je trenutno na starševskem dopustu (8)
The name of the institution where the person named in box 2 was recently registered as an employed person
Ime nosilca, kjer je bila oseba imenovana v okvirčku 2 nazadnje registrirana kot zaposlena oseba
Please complete the form in block capitals and write the text over dotted lines only.
Prosimo, da obrazec izpolnite z velikimi tiskanimi črkami in pišete le na označena polja.
The form consists of two pages of which none should be omitted, even if they do not contain relevant information.
Obrazec obsega dve strani, vrnite ga v celoti, četudi ne vsebuje ustreznih podatkov.
For the purposes of Dutch, Icelandic, Norwegian and Polish institutions.
Za namene nizozemskih, islandskih, norveških in poljskih nosilcev.
Information is based on the declaration of the interested person.
Podatek temelji na izjavi te osebe.
Please, indicate the exact dates (day/month/year).
Prosim označite natančen datum (dan/mesec/leto).
Country where the given work is being performed.
Država, kjer se delo izvaja.
It refers to benefits granted for a child when one of parents is on parental leave.
Se nanaša na dajatve dodeljene za otroka, v času, ko je eden od staršev na starševskem dopustu.
See ‘instructions’ page 2
Glej navodila na strani 2
CERTIFICATE OF POST-NATAL MEDICAL EXAMINATIONS
POTRDILO O ZDRAVNIŠKIH PREGLEDIH PO ROJSTVU
Reg. 1408/71: Art. 73; Art. 74
Uredba 1408/71: čl. 73; čl. 74
Reg. 574/72: Art. 86; Art. 88
Uredba 574/72: čl. 86; čl. 88
Information for the insured person
Podatki za zavarovano osebo
In order to qualify for French family benefits in accordance with Article 73 or 74, the child must undergo post-natal medical examinations, one examination during the 9th or 10th month from birth and the other during the 24th or 25th month.
Da bi bil upravičen do francoskih družinskih dajatev v skladu s členom 73 in 74, mora otrok opraviti zdravniške preglede po rojstvu, in sicer prvi pregled med 9. ali 10. mesecem po rojstvu, drugi pa med 24. ali 25. mesecem.
Failure to comply with this obligation and these deadlines will lead to loss of part of the entitlement.
Opustitev te zahteve in rokov ima za posledico izgubo dela dajatev.
In order to qualify for Slovak parental allowance in line with the Slovak legislation, the child has to be officially registered as the patient of a practitioner and has to regularly undergo preventive medical examinations including inoculation as per the obligatory vaccination regime.
Da bi bil upravičen do družinskih dajatev na podlagi slovaške zakonodaje, mora biti otrok pri zdravniku uradno registriran kot bolnik ter redno opravljati preventivne zdravniške preglede, vključujoč vsa obvezna cepljenja.
Name (1a)
Priimek (1a)
Previous name (1a)
Prejšnji priimki (1a)
Place of birth (1b)
Kraj rojstva (1b)
Identification/insurance number (1c)
Identifikacijska št./št. zavarovanja (1c)
Address (2)
Naslov (2)
Child for whom the certificate is requested
Otrok, za katerega se zahteva potrdilo
Institution responsible for the granting of family benefits
Nosilec, pristojen za dodelitev družinskih dajatev
Address (2) …
Naslov (2) …
To be completed by the doctor treating the child or by the doctor chosen by the person looking after the child.
Izpolni zdravnik, ki zdravi otroka ali zdravnik, ki ga izbere oseba, ki skrbi za otroka.
The child named in box 2 above underwent on
Otrok iz okvirčka 2 je opravil:
a medical examination during the 9th or 10th month from birth
zdravniški pregled med 9. in 10. mesecem po rojstvu
a medical examination during the 24th or 25th month
zdravniški pregled med 24. in 25. mesecem
Doctor’s surname and forename
Priimek in imena zdravnika:
Symbol of the country to whose legislation the worker is subject: FR = France; SK = Slovakia.
Oznaka države, katere zakonodaja se uporablja za delavca: FR = Francija, SK = Slovaška
MEDICAL CERTIFICATE FOR THE GRANT OF A SPECIAL FAMILY ALLOWANCE OR OF INCREASED FAMILY ALLOWANCES FOR HANDICAPPED CHILDREN
ZDRAVNIŠKO POTRDILO ZA DODELITEV POSEBNIH DRUŽINSKIH DODATKOV ALI POVEČANIH DRUŽINSKIH DODATKOV ZA TELESNO OVIRANE IN DUŠEVNO MOTENE OTROKE
To be completed by the institution responsible for the granting of family benefits.
Izpolni nosilec, pristojen za dodelitev družinskih dajatev
The doctor designated by the institution of the place of residence of the examined child should complete this page and the next page and send it to the institution mentioned in box 3, enclosing all recent supporting medical documents (photographs, X-rays, results of medical examinations, etc.)
Zdravnik, ki ga imenuje nosilec v kraju prebivališča zdravniško pregledanega otroka, naj izpolni to in naslednjo stran in pošlje nosilcu, navedenem v okvirčku 3. Zdravnik priloži vso najnovejšo medicinsko dokumentacijo (fotografije, rentgenske slike, izvidi zdravniških preiskav, itd.)
Child’s age on date of examination
Otrokova starost na dan pregleda:
Child’s weight
Otrokova teža:
height:
višina:
Psychomotor retardation
Psihomotorična zaostalost
Retardation taking account of normal level for the child’s age
Zaostalost glede na normalni otrokov razvoj za to starost:
If yes, please specifiy
Če je, prosim, natančno navedite:
Independence
Samostojnost
Can the child sit up unaided?
Ali lahko otrok sedi brez pomoči?
Can he/she walk?
Ali lahko hodi?
Can he/she talk?
Ali lahko govori?
Can he/she dress unaided?
Ali se lahko obleče brez pomoči?
Can he/she eat unaided?
Ali lahko je brez pomoči?
Does he/she write?
Ali lahko piše?
Is he/she incontinent?
Ali zadržuje urin?
Assistance
Pomoč
Does the child’s condition necessitate attendance by another person?
Ali otrokovo stanje zahteva prisotnost druge osebe?
Constant attendance?
Stalno prisotnost?
Daily attendance though not continuous?
Občasno dnevno prisotnost
Or other measures (please specify)
ali druge ukrepe (prosimo, natančno navedite):
Nature of the principal disability
Narava osnovne duševne motenosti ali telesne oviranosti
Is the child’s disability
Ali je otrokova oviranost
sensory?
v zvezi s čutili?
visual?
v zvezi z vidom?
auditory?
v zvezi s sluhom?
motor
motorična:
mental
mentalna:
mental level
mentalna stopnja
behaviour
vedenje
Origin of disability (3)
Izvor duševne motenosti ali telesne oviranosti (3)
congenital anomaly
prirojena anomalija
disease
bolezen
date of onset of disability
nastop bolezni:
date of diagnosis
datum diagnoze:
month
mesec:
year
leto:
beginning of treatment
začetek zdravljenja:
accident
nesreča
date of accident
datum nesreče:
Associated disabilities
Spremljajoče duševne motenosti ali duševne oviranosti
Which ones?
Katere?
Other deficiencies
Druge telesne in duševne pomanjkljivosti
Additional observations
Dodatne ugotovitve
Disabilities in the family
Duševne motenosti ali telesne oviranosti v družini:
Supplementary examinations already carried out
Že opravljeni dodatni zdravniški pregledi:
(Copies of reports of examinations should be enclosed, where appropriate)
(kopije izvidov zdravniških preiskav se priložijo, kadar je potrebno)
Treatment, including rehabilitation and remedial therapy.
Zdravljenje, vključno z rehabilitacijo in medikamentalnim zdravljenjem.
What forms of treatment are being provided?
Kakšne oblike zdravljenja se izvajajo?
Since when?
Od kdaj?
What forms of treatment are recommended?
Kakšne oblike zdravljenja se priporočajo?
Surgery
Operacija:
Hospitalisations (the last three years)
Bolnišnična zdravljenja (v zadnjih treh letih):
Treatment at home (medicaments)
Zdravljenje na domu (zdravila, …):
Since when …/…/…
od kdaj …/…/…
Rehabilitation
Rehabilitacija:
Beginning
Začetek:
Frequency
Pogostost:
Where?
Kje:
Logopedy
Logoped:
Physiotherapy
Fizioterapevt:
Occupational therapy
Delovna terapija:
(Psycho)therapy
(Psiho)terapija:
Earliest help at home
Prva pomoč na domu:
Educational and training measures
Ukrepi izobraževanja in usposabljanja
What forms of education and training are being provided?
Kakšne oblike izobraževanja in usposabljanja se izvajajo?
What education and training is recommended?
Kakšno izobraževanje in usposabljanje se priporoča?
Prognosis
Prognoza
Please specify:
Prosim, natančno navedite:
ICD (International Classification of Diseases — WHO) code of illness
ICD (International Classification of Diseases – Mednarodna klasifikacija bolezni) koda bolezni
Beginning of illness
Začetek bolezni
Date of next control
Datum naslednje kontrole
It consists of four pages, none of which may be left out even if it does not contain any relevant information.
Obrazec obsega štiri strani, vrnite ga v celoti, četudi ne vsebuje ustreznih podatkov.
Symbol of the country to whose legislation the worker is subject: BE = Belgium; CZ = Czech Republic; DK = Denmark; DE = Germany; EE = Estonia; GR = Greece; ES = Spain; FR = France; IE = Ireland; IT = Italy; CY = Cyprus; LV = Latvia; LT = Lithuania; LU = Luxembourg; HU = Hungary; MT = Malta; NL = The Netherlands; AT = Austria; PL = Poland, PT = Portugal; SI = Slovenia, SK = Slovakia, FI = Finland, SE = Sweden, UK = United Kingdom; IS = Iceland; LI = Liechtenstein; NO = Norway; CH = Switzerland.
Oznaka države nosilca, ki izpolnjuje obrazec: BE = Belgija; CZ = Češka; DK = Danska; DE = Nemčija; EE = Estonija; GR = Grčija; ES = Španija; FR = Francija; IE = Irska; IT = Italija; CY = Ciper; LV = Latvija; LT = Litva; LU = Luksemburg; HU = Madžarska; MT = Malta; NL = Nizozemska; AT = Avstrija; PL = Poljska; PT = Portugalska; SI = Slovenija; SK = Slovaška; FI = Finska; SE = Švedska; UK = Združeno kraljestvo; IS = Islandija; LI = Lihtenštajn; NO = Norveška; CH = Švica.
Failing this, indicate ‘None’.
V nasprotnem primeru navedite „JE NI“.
Need only to be filled in if a Belgian or Slovak institution is responsible for granting family benefits.
Izpolni se, če je belgijski ali slovaški nosilec pristojen za dodelitev družinskih dajatev.
In Slovenia it is completed by a medical commission appointed by the Minister of Labour, Family and Social Affairs.
V Sloveniji izpolni zdravniška komisija, ki jo imenuje minister za delo, družino in socialne zadeve.
REQUEST FOR INFORMATION ON ENTITLEMENT TO FAMILY BENEFITS IN THE MEMBER STATES OF RESIDENCE OF THE MEMBERS OF THE FAMILY
ZAHTEVEK ZA INFORMACIJE O UPRAVIČENOSTI DO DRUŽINSKIH DAJATEV V DRŽAVI ČLANICI, KJER IMAJO DRUŽINSKI ČLANI STALNO PREBIVALIŠČE
Reg. 1408/71: Art. 76
Uredba 1408/71: čl. 76
Reg. 574/72: Art. 10
Uredba 574/72: čl. 10
The competent institution responsible for the payment of family benefits in the Member State in which the employed or self-employed person works, which wishes to know whether entitlement to family benefits exists in the Member State of residence of the members of the family, should complete two copies of Part A and send them to the institution of the place of residence of the members of the family.
Nosilec, ki je pristojen za izplačilo družinskih dajatev v državi članici, v kateri dela zaposlena ali samozaposlena oseba, in bi rada izvedela, ali obstaja v državi članici stalnega prebivališča družinskih članov pravica do družinskih dajatev, naj izpolni dva izvoda dela A in ju pošlje nosilcu v kraju stalnega prebivališča družinskih članov.
Spouse (former spouse) or other persons whose entitlement to family benefits in the country of residence of the members of the family must be verified
Zakonec (nekdanji zakonec) ali druge osebe, katerih upravičenost do družinskih dajatev v državi stalnega prebivališča družinskih članov je treba potrditi
Relationship to the members of the family mentioned in box 3
Sorodstveno razmerje do družinskih članov, navedenih v okvirčku 3
Period for which the information is requested …
Obdobje, za katerega se zahtevajo podatki …
Members of the family (6)
Člani družine (6)
Relationship (5)
Sorodstveno razmerje (5)
Actual place of residence (7)
Dejanski kraj prebivališča (7)
Identification/insurance No (3)
Identifikacijska št./št. zavarovanja (3)
Information concerning the occupation pursued in the country of residence of the members of the family
Podatki v zvezi s poklicem, ki se opravlja v državi stalnega prebivališča družinskih članov
Employer …
Delodajalec …
Self-employment …
Samozaposlitev …
Activity treated as an occupation as defined by Decision No 119 (15)
Dejavnost, ki se šteje kot poklic v skladu s Sklepom št. 119 (15)
Competent institution
Pristojni nosilec
File reference number (8) …
Številka zadeve (8) …
To be completed by the competent institution in the place of residence of the members of the family or by the employer or the person named in box 2 (9).
Izpolni pristojni nosilec v kraju prebivališča družinskih članov ali delodajalec osebe, navedene v okvirčku 2 (9)
Certificate issued by the competent institution responsible for the payment of family benefits in the place of residence of the members of the family or by the employer
Potrdilo, ki ga izda nosilec, pristojen za izplačevanje družinskih dajatev v kraju prebivališča družinskih članov ali delodajalec
the person named in box 2
Oseba, navedena v 2. okvirčku, je v obdobju od …
pursued an occupation (or an activity treated as such as defined in Decision No 119) (15)
opravljala poklic (ali dejavnost, ki se kot taka obravnava v skladu s Sklepom št. 119) (15)
did not pursue an occupation (or an activity treated as such as defined in Decision No 119) (15)
ni opravljala poklica (ali dejavnosti, ki se kot taka obravnava v skladu s sklepom št. 119) (15)
is entitled to family benefits for the members of the family
do … upravičena do družinskih dajatev za družinske člane
total amount of family benefits …
skupni znesek družinskih dajatev …
is not entitled to family benefits for the following reasons
ni upravičena do družinskih dajatev iz naslednjih razlogov
has not submitted a claim (10)
ni vložila zahtevka (10)
Income of the persons named in box 2 and 3 (4a)
Dohodki oseb navedenih v okvirčku 2 in 3 (4a)
Information concerning the family benefits referred to in box 6 per family members (11)
Podatki v zvezi z družinskimi dajatvami iz 6. okvirčka za družinske člane (11)
Additional information per family member:
Dodatne informacije za družinskega člana:
Family member
Družinski član
Kind of benefit (14)
Vrsta dajatve (14)
Amount (12)
Znesek (12)
Periodicity (week/month)
Obdobje (teden/mesec)