natgillin/translations-raw huggingface dataset:
The enlargement of the European Union on 1 May 2004 requires the forms in the E 200 series to be amended.
Širitev Evropske unije 1. maja 2004 zahteva spremembo obrazcev serije E 200.
The Agreement on the European Economic Area (EEA Agreement) of 2 May 1992, supplemented by the Protocol of 17 March 1993, Annex VI, implements Regulations (EEC) No 1408/71 and (EEC) No 574/72 within the European Economic Area.
S Sporazumom o Evropskem gospodarskem prostoru (Sporazum EGP) z dne 2. maja 1992, dopolnjenim s Protokolom z dne 17. marca 1993, Priloga VI, se uredbi (EGS) št. 1408/71 in (EGS) št. 574/72 uporabljata v Evropskem gospodarskem prostoru.
The European Community and its Member States, and the Swiss Confederation have concluded an Agreement on the free movement of persons (Swiss Agreement) which entered into force on 1 June 2002.
Evropska skupnost in njene države članice ter Švicarska konfederacija so sklenile Sporazum o prostem pretoku oseb (Sporazum s Švico), ki je začel veljati dne 1. junija 2002.
The model documents E 202 with additional pages 1 to 9, E 203 with additional pages 1 to 13, E 204 with additional pages 1 to 9, E 205(BE), (CZ), (DK), (DE), (EE), (GR), (ES), (FR), (IE), (IT), (CY), (LV), (LT), (LU), (HU), (MT), (NL), (AT), (PL), (PT), (SI), (SK), (FI), (SE), (UK), (IS), (LI), (NO), (CH), E 207, E 210, E 211, E 213 with additional pages 1 to 5, and E 215 with an additional page are adopted in accordance with the forms attached to this decision.
Vzorčni obrazci E 202 z dodatnimi stranmi 1 do 9, E 203 z dodatnimi stranmi 1 do 13, E 204 z dodatnimi stranmi 1 do 9, E 205 (BE), (CZ), (DK), (DE), (EE), (GR), (ES), (FR), (IE), (IT), (CY), (LV), (LT), (LU), (HU), (MT), (NL), (AT), (PL), (PT), (SI), (SK), (FI), (SE), (UK), (IS), (LI), (NO), (CH), E 207, E 210, E 211, E 213 z dodatnimi stranmi 1 do 5 in E 215 z dodatno stranjo, se sprejmejo v skladu z obrazci, ki so priloženi temu sklepu.
The competent authorities of the Member States shall make available to the parties concerned the forms according to the models appended hereto.
Pristojni organi držav članic zagotovijo zadevnim strankam obrazce, ki so skladni s priloženimi obrazci.
These forms shall be available in the official languages of the Community and laid out in such manner that the different versions are perfectly superposable, thereby making it possible for all addressees to receive the form printed in their own language.
Ti obrazci so na voljo v uradnih jezikih Skupnosti in oblikovani tako, da so njihove različice popolnoma skladne, tako da lahko vsi naslovniki prejmejo obrazec, natisnjen v njihovem jeziku.
This Decision, which replaces Decisions No 184 and No 188, shall be published in the Official Journal of the European Union.
Ta sklep, ki nadomesti sklepa št. 184 in št. 188, se objavi v Uradnem listu Evropske unije.
It shall apply from the first day of the month following its publication.
Veljati začne prvi dan v mesecu, ki sledi njegovi objavi.
OJ L 149, 5.7.1971, p. 2, Regulation last amended by Regulation (EC) No 647/2005 of the European Parliament and of the Council (OJ L 117, 4.5.2005, p. 1).
UL L 149, 5.7.1971, str. 2, Uredba, kakor je bila nazadnje spremenjena z Uredbo (ES) št. 647/2005 Evropskega parlamenta in Sveta (UL L 117, 4.5.2005, str. 1).
OJ L 74, 27.3.1972, p. 1, Regulation last amended by Regulation (EC) No 647/2005 of the European Parliament and of the Council.
UL L 74, 27.3.1972, str. 1, Uredba, kakor je bila nazadnje spremenjena z Uredbo (ES) št. 647/2005 Evropskega parlamenta in Sveta.
OJ L 304, 6.11.2002, p. 1, corrected by OJ L 315, 19.11.2002, p. 22.
UL L 304, 6.11.2002, str. 1, popravljeno v UL L 315, 19.11.2002, str. 22.
OJ L 112, 6.5.2003, p. 12.
UL L 112, 6.5.2003, str. 12.
THE ADMINISTRATIVE COMMISSION
UPRAVNA KOMISIJA
See ‘Instructions’ on pages 8, 9 and 10
Glej navodila na straneh 8, 9 in 10
Country:
Država
Identification No (2) (16)
Identifikacijska številka (2) (16)
Institution concerned
Nosilec
(where applicable, liaison body)
(organ za zvezo)
INVESTIGATION OF A CLAIM FOR AN OLD-AGE PENSION
OBRAVNAVA ZAHTEVKA ZA STAROSTNO POKOJNINO
Regulation (EEC) No 1408/71: Articles 44 to 51a; Article 77
Uredba (EGS) št. 1408/71: členi 44 do 51(a); člen 77
Regulation (EEC) No 574/72: Articles 36 to 38; Articles 41 to 43; Articles 45 to 47; Article 49; Article 90 (*); Article 111
Uredba (EGS) št. 574/72: členi 36 do 38; členi 41 do 43; členi 45 do 47; člen 49; člen 90 (*); člen 111
The investigating institution should complete this form and send one copy to each of the institutions with which the employed or self-employed person has been insured (institutions concerned) or to the liaison body.
Nosilec, ki vodi postopek, izpolni obrazec in pošlje po en izvod nosilcem, pri katerih je bila zaposlena ali samozaposlena oseba zavarovana (udeleženi nosilci), ali organu za zvezo.
Institution to which the form is addressed (institution concerned or liaison body, as applicable)
Nosilec naslovnik (udeleženi nosilec ali organ za zvezo,)
Name: …
Ime:…
Address (3): …
Naslov (3): …
Information concerning insured person (4)
Podatki o zavarovani osebi (4)
Surname (5): …
Priimek (5): …
Surname at birth (5): …
Priimek ob rojstvu (5): …
Forenames (6): …
Imena (6): …
Previous names (7): …
Prejšnji priimki in imena (7): …
Sex (8): …
Spol (8): …
Father’s surname and forenames (9): …
Priimek in imena očeta (9): …
Mother’s surname and forenames at birth (9): …
Priimek in imena matere ob rojstvu (9): …
divorced (10)
razvezan(-a) (10)
separated
ločen(-a)
since: … (11)
od: … (11)
remarried (10)
ponovno poročen(-a) (10)
widow or widower
vdovec/vdova
cohabiting
živi v zunajzakonski skupnosti
Taxpayer’s No (13): …
Davčna številka (13): …
Code of tax district: …
Šifra davčnega okrožja: …
Insurance No (2) (14): …
Zavarovalna številka (2) (14): …
Article 90 of Regulation (EEC) No 574/72 is not applicable in the Netherlands.
Člen 90 Uredbe (EGS) št. 574/72 se ne uporablja na Nizozemskem.
Nationality (15) (16): …
Državljanstvo (15) (16): …
Details of birth (17)
Podatki o rojstvu (17)
Date of birth (17): …
Datum rojstva (17): …
Place of birth (18): …
Kraj rojstva (18): …
Province, county (19): …
Pokrajina, okrožje (19): …
Country (20): …
Država (20): …
Address and bank particulars
Naslov in podatki o banki
Address (3) (21) (22): …
Naslov (3) (21) (22): …
Bank particulars or address for direct payment
Podatki o banki ali naslov za neposredna nakazila
Name of beneficiary as recognised by the bank: …
Ime upravičenca po podatkih banke: …
Name of the bank: …
Naziv banke: …
Address of the bank: …
Naslov banke: …
Bank identification code (BIC/SWIFT): …
številka banke (BIC/SWIFT): …
International bank account No (IBAN): …
Mednarodna številka bančnega računa (IBAN): …
Insurance No at the registering institution: …
Zavarovalna številka pri nosilcu, ki vodi postopek: …
Reference No of file at the investigating institution: …
številka spisa pri nosilcu, ki vodi postopek: …
The insured person is still pursuing gainful employment
Zavarovana oseba je redno zaposlena
as an employed person
kot zaposlena oseba
as a self-employed person
kot samozaposlena oseba
civil servant (22a)
kot javni uslužbenec (22a)
entailing compulsory pension insurance cover (23)
in je zavarovana v okviru obveznega pokojninskega zavarovanja (23)
The insured person ceased to pursue gainful employment
Zavarovana oseba ni redno zaposlena
The insured person intends to retire from gainful employment
Zavarovana oseba namerava prenehati opravljati redno zaposlitev
The insured person intends to take up gainful employment (24)
Zavarovana oseba se bo redno zaposlila (24)
as a self-employed person (state nature of activity):
kot samozaposlena oseba (navedite vrsto dejavnosti):
of salary
plače
of professional income
dohodka iz samostojne dejavnosti
of other income
drugih dohodkov
Nature of other income: …
Vrsta drugih dohodkov: …
The claimant states that he/she has no income (26).
Vlagatelj zahtevka izjavlja, da nima dohodkov (26).
has applied for the following benefits:
je vložil zahtevek za naslednje dajatve:
is receiving the following benefits:
prejema naslednje dajatve:
Continued wage or salary payments in case of illness
Nadomestilo plače za primer bolezni
Sickness insurance cash benefits for incapacity for work
Denarne dajatve iz naslova zdravstvenega zavarovanja zaradi nezmožnosti za delo
Rehabilitation allowances
Dodatke za rehabilitacijo
Invalidity pension (27)
Invalidsko pokojnino (27)
Old-age pension (27)
Starostno pokojnino (27)
Survivor’s pension (27)
Pokojnino za preživele družinske člane (27)
Pension for accident at work or occupational disease
Rento za primer nesreče pri delu ali poklicne bolezni
Pension-type benefit payable under compulsory motor insurance (road accident indemnity) (28)
Pokojninske dajatve v okviru obveznega zavarovanja za motorna vozila (odškodnina v primeru prometne nesreče) (28)
Unemployment benefits or early retirement benefit
Dajatve za brezposelnost ali dajatve za primer predčasne upokojitve
Family benefit (29)
Družinsko dajatev (29)
Refund of contributions
Vračilo prispevkov
Transfer of contributions (30)
Prenos prispevkov (30)
Other benefits (please specify)
Druge dajatve (navedite, katere)
Yes
otroke:
Institutions responsible for paying the benefits indicated in 8.3. to 8.11
Nosilci, ki izplačujejo dajatve, navedene v točkah od 8.3 do 8.11
[name, address (3), benefit No]:
[naziv, naslov (3), zaporedna številka dajatve]:
Additional information on the benefits listed in 8.3 to 8.10.
Dodatni podatki o dajatvah, navedenih v točkah od 8.3 do 8.10
Re benefits in item:
Vrsta dajatve
File reference No:
Številka spisa
Period or date on which due
Obdobje ali datum izplačila
daily
dnevni
weekly
tedenski
monthly
mesečni
annual
letni
The following are regarded as advances on the pension claimed:
Naslednje dajatve se upoštevajo kot predujem pokojnine, za katero se vlaga zahtevek
sickness insurance benefits for incapacity for work
dajatve iz naslova zdravstvenega zavarovanja zaradi nezmožnosti za delo
unemployment benefits
dajatve za brezposelnost
The insured person is entitled to sickness benefits in kind under the legislation administered by the investigating institution?
Zavarovana oseba je v skladu z zakonodajo nosilca, ki vodi postopek, upravičena do storitev za primer bolezni?
Not yet determined
Še ni odločeno
The benefit referred to in point 8.6 or 8.7 is based on (31):
Dajatev iz točke 8.6 ali 8.7 temelji na (31):
the claimant’s own insurance periods: see E 205
pokojninski dobi vlagatelja zahtevka: glej E 205
insurance periods completed by the (former) spouse: see E 205.
pokojninski dobi (bivšega) zakonca: glej E 205.
Additional information for the application of provisions on overlapping benefits
Dodatni podatki za uporabo določb o prekrivanju dajatev
When benefits of the same kind are granted by the institution or institutions concerned, the pension calculated by the investigating institution may be reduced?
Pokojnina, odmerjena s strani nosilca, ki vodi postopek, se lahko zniža, če udeleženi nosilec ali nosilci priznajo pravico do istovrstnih dajatev?
The pension calculated by the investigating institution may be reduced
Pokojnina, odmerjena s strani nosilca, ki vodi postopek, se lahko zniža
because one or several of the benefits specified at point 8 are taken into account?
ker se upošteva ena ali več dajatev, navedenih v točki 8?
because of income other than the benefits specified at point 8?
zaradi drugih dohodkov, ki niso navedeni v točki 8?
income from employment/self-employment
dohodek iz zaposlitve/samozaposlitve
other (32): …
drugo (32): …
The institution concerned is requested to specify the part of the pension accruing from voluntary contribution payments (point 6.7 in form E 210)?
Udeleženi nosilec naj navede del pokojnine, ki je priznan na podlagi prostovoljnih prispevkov (točka 6.7 v obrazcu E 210)?
The benefit due from the investigating institution is (partly or entirely) based on voluntary contributions?
Dajatev nosilca, ki vodi postopek, (delno ali v celoti) temelji na prostovoljnih prispevkih?
Information to be supplied if the form is to be sent to Danish (10.1, 10.2 and 10.3), German, Greek, Spanish, Austrian, Polish (10.1 and 10.2), French (10.1, 10.2 and 10.4), Icelandic, Slovene (10.2 and 10.3), Portuguese, Czech, Finnish and Norwegian (10.2) institutions
Izpolnite, če se obrazec pošilja danskim (10.1, 10.2 in 10.3), nemškim, grškim, španskim, avstrijskim, poljskim (10.1 in 10.2), francoskim (10.1, 10.2 in 10.4), islandskim, slovenskemu (10.2 in 10.3), portugalskim, češkim, finskim in norveškim (10.2) nosilcem
The claimant (33)
Vlagatelj zahtevka izjavlja (33)
declares that he/she is unfit for work (see medical report enclosed)
da ni zmožen za delo (glej priloženo zdravniško poročilo)
declares that he/she is totally incapable of performing duties and current invalidity is related to performed duties (see medical report enclosed) (33a)
da je popolnoma nezmožen opravljati delo in da je njegova sedanja invalidnost povezana z opravljanjem dela (glej priloženo zdravniško poročilo) (33a)
declares that he/she is not unfit for work.
da je zmožen za delo.
The claimant (33) (34)
Vlagatelj zahtevka izjavlja (33) (34)
declares that he/she needs someone in constant attendance for the performance of one of the ordinary activities of everyday life (see medical report enclosed)
da potrebuje stalno pomoč pri opravljanju enega od običajnih vsakodnevnih opravil (glej priloženo zdravniško poročilo)
declares that he/she does not need someone in constant attendance for the performance of one of the ordinary activities of everyday life
da ne potrebuje stalne pomoči pri opravljanju enega od običajnih vsakodnevnih opravil
declares that his or her functional capacity has, on account of an illness or injury, diminished with the result that he or she is not capable of performing ordinary activities of everyday life unaided or that the illness or injury imposes an added long-term financial strain (28).
da se je zaradi bolezni ali poškodbe njegova delovna zmožnost tako zmanjšala, da brez pomoči ni zmožen opravljati običajnih vsakodnevnih opravil, ali da mu bolezen ali poškodba povzroča dodatno dolgoročno finančno breme (28).
declares that he/she does not have sufficient means of subsistence.
da nima zadostnih sredstev za preživljanje.
The investigating institution awards an increase in benefits to the extent that the applicant is incapable of carrying out normal day-to-day activities unaided?
Nosilec, ki vodi postopek, je vlagatelju zahtevka zaradi njegove nezmožnosti opravljanja običajnih vsakodnevnih opravil brez pomoči priznal povišanje dajatev?
In addition to the benefit referred to at point 8 … the applicant receives an additional benefit if he/she is incapable of carrying out normal day-to-day activities?
poleg dajatev, navedenih v točki 8 …, vlagatelj zahtevka prejema dodatne dajatve, če ni zmožen opravljati običajnih vsakodnevnih opravil?
The additional benefit may be reduced if a similar benefit is granted by another institution concerned?
dodatna dajatev se lahko zniža, če pravico do podobne dajatve prizna drugi udeleženi nosilec?
Information concerning the members of the insured person’s family (4)
Podatki o družinskih članih zavarovane osebe (4)
Cohabiting partner (12) (35)
Zunajzakonski partner (12) (35)
Forenames (6):
Imena (6):
Date of birth: …
Datum rojstva: …
Date of marriage/cohabiting: …
Datum sklenitve zakonske zveze/začetka zunajzakonske skupnosti: …
Does the insured person live in the same household as the spouse or partner?
Ali zavarovanec živi v skupnem gospodinjstvu z zakoncem ali zunajzakonskim partnerjem?
Not anymore, since: …
Ne, ne več, od: …
The spouse/partner
Zakonec/zunajzakonski partner
pursues
je redno zaposlen
If in the affirmative, state amount of
Če je odgovor da, navedite znesek
weekly earnings (36): …
tedenskega zaslužka (36) …
The spouse/partner aged between 60 and 65 declares himself/herself
Zakonec/zunajzakonski partner, star med 60 in 65 let, izjavlja, da
fit for work
je zmožen za delo
has submitted a claim for a pension under the scheme for
je vložil zahtevek za pridobitev pravice do pokojnine iz sistema za
receives a pension under the scheme for
prejema pokojnino iz sistema za
does not receive a pension
ne prejema pokojnine
Type of pension (38): …
vrsto pokojnine (38): …
Pension No (16): …
pokojninsko številko (16): …
Institution responsible for payment: …
nosilca, pristojnega za izplačevanje: …
quarterly
četrtletni
Surname (5):
Priimek (5):
Previous names (7):
Prejšnji priimki in imena (7):
does not pursue gainful employment
ni redno zaposlen ima druge dohodke
annual earnings (37): …
letnega zaslužka (37): …
unfit for work (33)
ni zmožen za delo (33)
employed persons
za zaposlene osebe
self-employed persons
za samozaposlene osebe
all residents
vse rezidente
civil servants (37a)
javne uslužbence (37a).
Where appropriate, indicate
Kjer je potrebno, navedite
receives
prejema pokojnino
Date of commencement (40): …
Datum začetka izplačevanja: …
Amount (40): …
Znesek (40) …
The benefit referred to in 11.11 is based on (31):
Dajatev iz točke 11.11 temelji na (31):
the claimant’s own insurance periods : see E 205.
pokojninski dobi vlagatelja zahtevka: glej E 205
insurance periods completed by the (former) spouse : see E 205.
pokojninski dobi (bivšega) zakonca: glej E 205.
Children (16)
Otroci (16)
Forenames:
Imena:
Insurance number:
Zavarovalna številka:
Sex (M/F):
Spol (M/Ž):
Place and date of birth, marriage or death (41):
Kraj in datum rojstva, poroke ali smrti (41):
Relationship (i.e. : own child, adopted child, foster child):
Sorodstveno razmerje (tj. biološki otrok, posvojeni otrok, rejenec):
The following institution is competent to grant benefits pursuant to Article 77 of Regulation (EEC) No 1408/71:
Za priznanje pravice do dajatev v skladu s členom 77 Uredbe (EGS) št. 1408/71 je pristojen
the investigating institution
nosilec, ki vodi postopek
the institution designated as follows: …
drugi nosilec (navedite, kateri) …
The investigating institution,
Nosilec, ki vodi postopek,
for the children referred to in line Nos … of item 12.1,
je za otroke, navedene pod številkami … točke 12.1,
is granting benefits until … inclusive.
priznal pravico do dajatev do … vključno
amount of pension increase and family allowance per child (42):
znesek povečanja pokojnine in znesek družinskega dodatka na otroka (42):
is not granting benefits in respect of the children referred to in line Nos … of item 12.1 (43).
ni priznal pravice do dajatev za otroke, navedene podštevilkami … točke 12.1 (43)
has not yet taken a decision regarding entitlement to benefits.
o pravici do dajatev še ni odločil
Address (3) (44): …
Naslov (3) (44): …
Remarks (45) (46) (49): …
Opombe (45) (46) (49): …
Date of submission of this claim: …
Datum vložitve zahtevka: …
Date chosen by claimant for commencement of pension payments in country [refer to box above section 1]
[glej razpredelnico nad točko 1 na prvi strani]: …
Date from which the pension is payable in the country of the investigating institution: …
Datum, začetka izplačevanja v državi nosilca, ki vodi postopek: …
The claimant has asked for payment (47)
Vlagatelj zahtevka želi, da se dajatve nakazujejo (47)
directly in the State of residence
neposredno njemu v državo stalnega prebivališča
to a representative in the State of origin.
njegovemu zastopniku v matični državi
Additional information for the purposes of the Finnish institutions:
Dodatni podatki za potrebe finskih nosilcev:
in Finnish
Vlagatelj zahtevka želi odločbo
The claimant wishes to have the decision
Vlagatelj zahtevka želi odločbo
in Swedish
v švedskem jeziku
The claimant
Vlagatelj zahtevka
has requested
je zaprosil
has not requested
ni zaprosil
deferment of the calculation of an old-age pension to which he/she would be entitled.
za odlog priznanja pravice do starostne pokojnine, do katere bi bil upravičen.
Where appropriate, indicate the country and the date chosen for pension payments: … …
Kjer je potrebno, navedite državo in datum, ki ga je vlagatelj zahtevka izbral za začetek izplačevanja pokojninskih dajatev:
The investigating institution
Nosilec, ki vodi postopek
pays
izplačuje
does not pay
ne izplačuje
benefits on a provisional basis under Article 45(1) of Regulation (EEC) No 574/72.
akontacijo/-e pokojnine v skladu s členom 45(1) Uredbe (EGS) št. 574/72.
If not, the institutions concerned are requested to investigate the possibility of paying benefits on a provisional basis under Article 45(2) of Regulation (EEC) No 574/72.
Če je odgovor ne, morajo udeleženi nosilci preučiti možnost izplačila akontacije pokojnine v skladu s členom 45(2) Uredbe (EGS) št. 574/72.
There are grounds
Treba je
There are no grounds
ni treba
for making deductions to compensate for overpayment in accordance with Article 111 of Regulation (EEC) No 574/72.
zadržati vsote za poračun preplačila v skladu s členom 111 Uredbe (EGS) št. 574/72.
Any pension arrears
Zaostali zneski pokojnine se lahko se ne smejo izplačajo(-ti) upravičencu neposredno.
can
se lahko
cannot
se ne smejo
be paid direct to the beneficiary.
izplačajo(-ti) upravičencu neposredno.
Attached forms
Priloženi obrazci
E 213 or all available medical evidence
E 213 ali vsa razpoložljiva zdravniška poročila
Please send us your
Prosimo, pošljite
Decision
odločbo
Arrears
zaostale zneske
Investigating institution
Nosilec, ki vodi postopek
Please complete this form in block letters or typewriting, writing on the dotted lines only.
Prosimo, da obrazec izpolnite z velikimi tiskanimi črkami ali na pisalni stroj in pišete le na označena polja.
It consists of ten pages, none of which may be left out even if it does not contain any relevant information.
Obrazec obsega deset strani. Vrnite ga v celoti, tudi če katera od strani ne vsebuje ustreznih podatkov.
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.
Street, number, post code, town, country, telephone number.
Ulica, hišna številka, poštna številka, kraj, država, telefonska številka.
For the purpose of Norwegian institutions, complete also form E 202/additional page 3.
Za potrebe norveških nosilcev izpolnite tudi obrazec E 202/dodatni vprašalnik št. 3.
For the purpose of Swiss institutions, complete also form E 202/additional page 4.
Za potrebe švicarskih nosilcev izpolnite tudi obrazec E 202/dodatni vprašalnik št. 4.
For the purpose of Polish Institutions, complete also form E 202 additional page 5, in the case of Poland, the term ‘insured person’ also refers to persons that are subject to special schemes.
Za potrebe poljskih nosilcev izpolnite tudi obrazec E 202/dodatni vprašalnik št. 5. V primeru Poljske se pojem „zavarovana oseba“ nanaša tudi na osebe, za katere veljajo posebni sistemi.
For the purpose of Czech Institutions also complete E 202 Additional page 6.
Za potrebe čeških nosilcev izpolnite tudi E 202/dodatni vprašalnik št. 6.
For the purpose of Lithuanian institutions, don’t complete part B of the form but complete E 202 Additional page 7.
Za potrebe litovskih nosilcev ne izpolnjujte dela B obrazca (E 202), temveč izpolnite E 202/dodatni vprašalnik št. 7.
For the purpose of Latvian institutions, do not complete part B of the form E 202, but complete form E 202/additional page 9.
Za potrebe latvijskih nosilcev ne izpolnjujte dela B obrazca E 202, temveč izpolnite obrazec E 202/dodatni obrazec št. 9.
For surname please state usual surname or surname acquired by marriage.
Pri priimku navedite priimek, ki ga uporabljate, ali priimek, privzet po poroki.