1165
| ID | 1165 |
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| Data | 2013-05-24 |
|---|
| Symbol | 2013/05/24/1165 |
|---|
| Instytucja | Zakład Ubezpieczeń Społecznych |
|---|
| Nazwa | Zaświadczenie o ubezpieczeniu - Umowa między Rzecząpospolitą Polską a Australią - PL-AU 1 |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
| URI://Dziennik_Ustaw/2010/172/1162/3/3 | Art. 3 ust. 3 Porozumienia Administracyjnego z 7 października 2009 r. w sprawie stosowania Umowy między Rzecząpospolitą Polską a Australią o zabezpieczeniu społecznym (Dz. U. z 2010 r., Nr 172, poz. 1162). |
|---|
Pliki
Styl
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<title>PL-AU 1 (Formularz) - Zakład Ubezpieczeń Społecznych</title>
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<div style="width: 100%; top: 88px; text-align: center; position: absolute; " class="SofLabel title16TNR">
UMOWA MIĘDZY RZECZĄPOSPOLITĄ POLSKĄ A AUSTRALIĄ
<br/>
O ZABEZPIECZENIU SPOŁECZNYM
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<div style="width: 100%; top: 143px; text-align: center; position: absolute; " class="SofLabel title16TNR">
AGREEMENT BETWEEN REPUBLIC OF POLAND AND AUSTRALIA
<br/>
ON SOCIAL SECURITY
</div>
<div style="width: 100%; height: 26px; top: 210px; text-align: center; position: absolute; " class="SofLabel formTitleCenterNormal25TNR">ZAŚWIADCZENIE O UBEZPIECZENIU</div>
<div style="left: 674px; top: 204px; position: absolute; " class="SofLabel tnr">(1)</div>
<div style="width: 100%; height: 26px; top: 238px; text-align: center; position: absolute; " class="SofLabel formTitleCenterNormal25TNR">CERTIFICATE OF COVERAGE</div>
<div style="width: 100%; top: 299px; text-align: center; position: absolute; " class="SofLabel title16TNR">
ARTYKUŁ 8 UMOWY
<br/>
ARTYKUŁ 5 POROZUMIENIA ADMINISTRACYJNEGO
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<div style="width: 100%; top: 352px; text-align: center; position: absolute; " class="SofLabel title16TNR">
ARTICLE 8 OF AGREEMENT
<br/>
ARTICLE 5 OF ADMINISTRATIVE ARRANGEMENT
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<div style="width: 40px; height: 40px; left: 50px; top: 450px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="width: 100%; text-align: center; position: absolute; margin-top: 10px;" class="SofLabel global16NormalTNR">1</div>
</div>
<div style="left: 100px; top: 450px; position: absolute; " class="SofLabel global16NormalTNR">Informacje dotyczące pracownika</div>
<div style="left: 100px; top: 470px; position: absolute; " class="SofLabel global16NormalTNR">Information concerning the employee</div>
<div style="width: 780px; height: 330px; left: 50px; top: 489px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="left: 15px; top: 19px; position: absolute; " class="SofLabel global14NormalTNR">1.1 Nazwisko</div>
<div style="left: 35px; top: 33px; position: absolute; " class="SofLabel global14NormalTNR">Surname</div>
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<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:DaneDotyczacePracownika/wnio:Nazwisko"/>
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<span/>
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<div style="left: 15px; top: 59px; position: absolute; " class="SofLabel global14NormalTNR">1.2 Imię (imiona)</div>
<div style="left: 35px; top: 73px; position: absolute; " class="SofLabel global14NormalTNR">Name (names)</div>
<div id="12" style="width: 639px; height: 25px; left: 135px; top: 59px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextInput dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:DaneDotyczacePracownika/wnio:Imie"/>
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<span/>
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<div style="left: 15px; top: 102px; position: absolute; " class="SofLabel global14NormalTNR">1.3 Data urodzenia</div>
<div style="left: 35px; top: 116px; position: absolute; " class="SofLabel global14NormalTNR">Date of birth</div>
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<div style="left: 15px; top: 147px; position: absolute; " class="SofLabel global14NormalTNR">1.5 Adres zamieszkania</div>
<div style="left: 151px; top: 143px; position: absolute; " class="SofLabel tnr">(2)</div>
<div style="left: 35px; top: 161px; position: absolute; " class="SofLabel global14NormalTNR">Place of residence</div>
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<div style="left: 15px; top: 278px; position: absolute; " class="SofLabel global14NormalTNR">1.6 Numery identyfikacyjne w Polsce</div>
<div style="left: 227px; top: 274px; position: absolute; " class="SofLabel tnr">(3)</div>
<div style="left: 35px; top: 294px; position: absolute; " class="SofLabel global14NormalTNR">Identification numbers in Poland</div>
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<div style="left: 100px; top: 872px; position: absolute; " class="SofLabel global16NormalTNR">Informacje dotyczące pracodawcy</div>
<div style="left: 100px; top: 891px; position: absolute; " class="SofLabel global16NormalTNR">Information concerning the employer</div>
<div style="width: 780px; height: 250px; left: 50px; top: 909px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="left: 15px; top: 13px; position: absolute; " class="SofLabel global14NormalTNR">2.1 Nazwa</div>
<div style="left: 35px; top: 27px; position: absolute; " class="SofLabel global14NormalTNR">Name</div>
<div id="17" style="width: 680px; height: 25px; left: 94px; top: 12px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextInput dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczacePracodawcy/wnio:Nazwa"/>
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<span/>
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<div style="left: 15px; top: 72px; position: absolute; " class="SofLabel global14NormalTNR">2.2 Adres</div>
<div style="left: 71px; top: 69px; position: absolute; " class="SofLabel tnr">(2)</div>
<div style="left: 33px; top: 87px; position: absolute; " class="SofLabel global14NormalTNR">Address</div>
<div id="18" style="width: 680px; height: 113px; left: 94px; top: 71px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextArea dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
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<div style="left: 15px; top: 211px; position: absolute; " class="SofLabel global14NormalTNR">2.3 Numery identyfikacyjne w Polsce NIP i REGON</div>
<div style="left: 318px; top: 206px; position: absolute; " class="SofLabel tnr">(4)</div>
<div style="left: 32px; top: 226px; position: absolute; " class="SofLabel global14NormalTNR">Identification numbers in Poland NIP and REGON</div>
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<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczacePracodawcy/wnio:NumeryIdentyfikacyjneWPolsce"/>
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<span/>
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</div>
<div style="left: 835px; top: 1200px; position: absolute; " class="SofLabel tnr">1</div>
</div>
<hr style="visibility: hidden;"/>
<div style="width: 880px; height: 1280px; position: relative; page-break-after: always; border: 1px solid black; margin-left: auto; margin-right: auto; text-align: left; ">
<div style="width: 85px; height: 40px; left: 760px; top: 25px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="width: 100%; top: 13px; text-align: center; position: absolute; " class="SofLabel global16BoldTNR">PL-AU 1</div>
</div>
<div style="width: 40px; height: 40px; left: 50px; top: 140px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="width: 100%; text-align: center; position: absolute; margin-top: 10px;" class="SofLabel global16NormalTNR">3</div>
</div>
<div style="left: 100px; top: 140px; position: absolute; " class="SofLabel global16NormalTNR">Pracownik wymieniony w punkcie 1</div>
<div style="left: 100px; top: 160px; position: absolute; " class="SofLabel global16NormalTNR">Employee mentioned in point 1</div>
<div style="width: 780px; height: 500px; left: 50px; top: 179px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="left: 15px; top: 8px; position: absolute; " class="SofLabel global14NormalTNR">został oddelegowany do:</div>
<div style="left: 15px; top: 26px; position: absolute; " class="SofLabel global14NormalTNR">was seconded to:</div>
<div style="left: 15px; top: 61px; position: absolute; " class="SofLabel global14NormalTNR">3.1 Nazwa</div>
<div style="left: 35px; top: 75px; position: absolute; " class="SofLabel global14NormalTNR">Name</div>
<div id="110" style="width: 684px; height: 25px; left: 90px; top: 59px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextInput dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:Pracownik/wnio:Nazwa"/>
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<span/>
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<div style="left: 15px; top: 109px; position: absolute; " class="SofLabel global14NormalTNR">3.2 Adres w Australii</div>
<div style="left: 35px; top: 124px; position: absolute; " class="SofLabel global14NormalTNR">Address in Australia</div>
<div id="111" style="width: 611px; height: 57px; left: 163px; top: 109px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextArea dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:call-template name="formatowanie">
<xsl:with-param name="tekst" select="//wnio:TrescDokumentu/wnio:Pracownik/wnio:AdresWAustralii"/>
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<span/>
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<div style="left: 15px; top: 188px; position: absolute; " class="SofLabel global14NormalTNR">3.3 i podlega polskiemu ustawodawstwu na podstawie artykułu</div>
<div style="left: 35px; top: 205px; position: absolute; " class="SofLabel global14NormalTNR">and is subject to the Polish legislation by virtue of article</div>
<div id="112" style="height: 25px; width: 25px; left: 36px; top: 239px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofCheckBox">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:PodleganiePolskiemuUstawodawstwu/wnio:Artykul811='true'">
<span style="padding-left:6px ; padding-top:2px; display: block; font-family: Times; font-size: medium;">X</span>
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<div style="left: 69px; top: 246px; position: absolute; " class="SofLabel global14NormalTNR">8.1(1)</div>
<div id="113" style="height: 25px; width: 25px; left: 163px; top: 239px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofCheckBox">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:PodleganiePolskiemuUstawodawstwu/wnio:Artykul812='true'">
<span style="padding-left:6px ; padding-top:2px; display: block; font-family: Times; font-size: medium;">X</span>
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<div style="left: 196px; top: 246px; position: absolute; " class="SofLabel global14NormalTNR">8.1(2)</div>
<div id="114" style="height: 25px; width: 25px; left: 284px; top: 239px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofCheckBox">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:PodleganiePolskiemuUstawodawstwu/wnio:Artykul82Umowy='true'">
<span style="padding-left:6px ; padding-top:2px; display: block; font-family: Times; font-size: medium;">X</span>
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<span/>
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<div style="left: 317px; top: 246px; position: absolute; " class="SofLabel global14NormalTNR">8.2 Umowy</div>
<div style="left: 15px; top: 300px; position: absolute; " class="SofLabel global14NormalTNR">3.4 od</div>
<div style="left: 35px; top: 315px; position: absolute; " class="SofLabel global14NormalTNR">from</div>
<div id="115" style="width: 140px; height: 25px; left: 91px; top: 300px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofDateField dotted">
<span style="padding-left:8px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Od != ''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Od, 9, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Od, 6, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Od, 1, 4)"/>
</xsl:if>
</span>
<span/>
</div>
<div style="left: 286px; top: 303px; position: absolute; " class="SofLabel global14NormalTNR">do</div>
<div style="left: 287px; top: 317px; position: absolute; " class="SofLabel global14NormalTNR">to</div>
<div id="116" style="width: 140px; height: 25px; left: 331px; top: 301px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofDateField dotted">
<span style="padding-left:8px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Do != ''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Do, 9, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Do, 6, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:OkresPodlegania/wnio:Do, 1, 4)"/>
</xsl:if>
</span>
<span/>
</div>
<div style="left: 15px; top: 367px; position: absolute; " class="SofLabel global14NormalTNR">3.5</div>
<div id="117" style="height: 25px; width: 25px; left: 40px; top: 360px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofCheckBox">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:PodleganieNaPodstawieZgody='true'">
<span style="padding-left:6px ; padding-top:2px; display: block; font-family: Times; font-size: medium;">X</span>
</xsl:if>
<span/>
</div>
<div style="left: 74px; top: 360px; position: absolute; " class="SofLabel global14NormalTNR">na podstawie zgody z dnia</div>
<div style="left: 75px; top: 376px; position: absolute; " class="SofLabel global14NormalTNR">on the grounds of consent dated</div>
<div id="118" style="width: 140px; height: 25px; left: 280px; top: 358px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofDateField dotted">
<span style="padding-left:8px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:if test="//wnio:TrescDokumentu/wnio:Pracownik/wnio:Data != ''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:Data, 9, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:Data, 6, 2)"/>
/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:Pracownik/wnio:Data, 1, 4)"/>
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</span>
<span/>
</div>
<div style="left: 461px; top: 360px; position: absolute; " class="SofLabel global14NormalTNR">znak</div>
<div style="left: 462px; top: 374px; position: absolute; " class="SofLabel global14NormalTNR">ref N°</div>
<div id="119" style="width: 261px; height: 25px; left: 513px; top: 357px; position: absolute; overflow: hidden; display: block; border: 1px solid black; background-color: white; " class="SofTextInput dotted">
<span style="padding-left:5px ; padding-top:3px; font-family: Times; font-size: medium;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:Pracownik/wnio:Znak"/>
</span>
<span/>
</div>
<div style="left: 15px; top: 426px; position: absolute; " class="SofLabel global14NormalTNR">(w przypadku art. 8.2 Umowy)</div>
<div style="left: 15px; top: 451px; position: absolute; " class="SofLabel global14NormalTNR">(in the case of art. 8.2 of Agreement)</div>
</div>
<div style="width: 40px; height: 40px; left: 50px; top: 790px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="width: 100%; text-align: center; position: absolute; margin-top: 10px;" class="SofLabel global16NormalTNR">4</div>
</div>
<div style="left: 100px; top: 790px; position: absolute; " class="SofLabel global16NormalTNR">Instytucja właściwa</div>
<div style="left: 100px; top: 809px; position: absolute; " class="SofLabel global16NormalTNR">Competent institution</div>
<div style="width: 780px; height: 290px; left: 50px; top: 829px; border-style: solid; border-width: 1px; position: absolute; " class="SofBorderContainer">
<div style="left: 15px; top: 15px; position: absolute; " class="SofLabel global14NormalTNR">4.1 Nazwa</div>
<div style="left: 35px; top: 30px; position: absolute; " class="SofLabel global14NormalTNR">Name</div>
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<xsl:value-of select="//wnio:TrescDokumentu/wnio:InstytucjaWlasciwa/wnio:Nazwa"/>
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<span/>
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<div style="left: 15px; top: 68px; position: absolute; " class="SofLabel global14NormalTNR">4.2 Adres</div>
<div style="left: 35px; top: 83px; position: absolute; " class="SofLabel global14NormalTNR">Address</div>
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<span/>
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<div style="left: 15px; top: 127px; position: absolute; " class="SofLabel global14NormalTNR">4.3 Pieczęć</div>
<div style="left: 35px; top: 142px; position: absolute; " class="SofLabel global14NormalTNR">Stamp</div>
<div style="left: 410px; top: 126px; position: absolute; " class="SofLabel global14NormalTNR">4.4 Data</div>
<div style="left: 432px; top: 142px; position: absolute; " class="SofLabel global14NormalTNR">Date</div>
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<span style="padding-left:8px ; padding-top:3px; font-family: Times; font-size: medium;">
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/
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:InstytucjaWlasciwa/wnio:Data, 1, 4)"/>
</xsl:if>
</span>
<span/>
</div>
<div style="left: 410px; top: 205px; position: absolute; " class="SofLabel global14NormalTNR">4.5 Podpis.</div>
<div style="left: 432px; top: 221px; position: absolute; " class="SofLabel global14NormalTNR">Signature</div>
<div style="width: 257px; left: 502px; top: 204px; position: absolute; " class="SofLabel global18Normal">......................................</div>
</div>
<div style="left: 835px; top: 1200px; position: absolute; " class="SofLabel tnr">2</div>
</div>
<hr style="visibility: hidden;"/>
<div style="width: 880px; height: 1280px; position: relative; page-break-after: always; border: 1px solid black; margin-left: auto; margin-right: auto; text-align: left; ">
<div style="width: 880px; height: 700px; left: 50px; top: 105px; position: absolute;; " class="SofRichText">
<div style="line-height: 120%;tab-stops: 40 40;margin : 0px;">
<p style="text-align: center;text-align-last: center; margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 15px;margin : 0px;">UWAGI</span>
</p>
<p style="text-align: center;text-align-last: center;margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 15px;margin : 0px;">COMMENTS</span>
</p>
<p style="margin: 0px; margin-top: 30px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px; position: absolute;">(1)</span>
<span style="font-size: 14px;font-weight: bold; margin : 0px;">
<span style="padding-left: 40px;">Właściwa terenowa jednostka Zakładu Ubezpieczeń Społecznych wystawia formularz na wniosek</span>
<br/>
<span style="padding-left: 40px;">pracodawcy lub pracownika. Formularz potwierdza okres, w którym pracodawca i pracownik podlegają</span>
<br/>
<span style="padding-left: 40px;">polskiemu ustawodawstwu. Kopię tego formularza jednostka terenowa Zakładu Ubezpieczeń</span>
<br/>
<span style="padding-left: 40px;">Społecznych przekazuje pracodawcy, pracownikowi i instytucji łącznikowej w Australii, do której wydane</span>
<br/>
<span style="padding-left: 40px;">formularze są przesyłane raz na kwartał.</span>
<br/>
</span>
</p>
<p style="margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">The competent local branch of Social Insurance Institution issues this form on request of the employer or</span>
<br/>
<span style="padding-left: 40px;">employee.This form confirms the period over which an employer and employee are subject to jurisdiction of</span>
<br/>
<span style="padding-left: 40px;">Poland. A copy of this form is to be given by local branch of Social Insurance Institution to employer, employee</span>
<br/>
<span style="padding-left: 40px;">and liaison institution in Australia to which issued forms are to be sent once every quarter.</span>
<br/>
<span style="padding-left: 40px;">W przypadku, o którym mowa w art. 8.2 Umowy właściwa terenowa jednostka Zakładu Ubezpieczeń</span>
<br/>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">Społecznych wystawia formularz, po uzyskaniu pisemnej zgody otrzymanej od właściwej instytucji</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">australijskiej.</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">In cases mentioned in art. 8.2 of the Agreement the competent local branch of Social Insurance Institution issues</span>
</span>
</p>
<p style="margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">this form after having obtained written consent from competent Australian authority.</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px; position: absolute;">(2)</span>
<span style="font-family: Times New Roman; font-size: 14px; font-weight: bold; margin : 0px;">
<span style="padding-left: 40px;">Ulica, numer domu, numer mieszkania, kod pocztowy, miejscowość, gmina/powiat/województwo.</span>
</span>
</p>
<p style="margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">Street name and number, apartment number, postal code, town/village, commune, district, province.</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px; position: absolute;">(3)</span>
<span style="font-family: Times New Roman;font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">PESEL i NIP, a w razie gdy ubezpieczonemu nie nadano tych numerów lub jednego z nich – seria i numer dowodu</span>
</span>
</p>
<p style="margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">osobistego lub paszportu.</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">PESEL and NIP, and in cases the insured has not been assigned one or both of these numbers – series and number</span>
</span>
</p>
<p style="margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">of the Country ID or Passport.</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px; position: absolute;">(4)</span>
<span style="font-family: Times New Roman;font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">Numer Identyfikacji Podatkowej NIP i numer Krajowego Rejestru Urzędowego Podmiotów Gospodarki Narodowej</span>
</span>
</p>
<p style="margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;font-weight: bold;margin : 0px;">
<span style="padding-left: 40px;">REGON.</span>
</span>
</p>
<p style="line-height: 240%;margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-family: Times New Roman;font-size: 14px;margin : 0px;">
<span style="padding-left: 40px;">Tax Identification Number NIP and number of Country’s Administration Register of National Economy Entities – REGON.</span>
</span>
</p>
</div>
</div>
<div style="width: 740px; height: 260px; left: 90px; top: 840px; position: absolute; " class="SofRichText">
<div style="line-height: 120%;tab-stops: 40 40;margin : 0px;">
<p style="font-weight: bold;text-align: center;text-align-last: center;text-indent: -40px;margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 15px;margin : 0px;">INSTYTUCJE WŁAŚCIWE</span>
</p>
<p style="text-align: center;text-align-last: center;text-indent: -40px;margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="font-size: 15px;margin : 0px;">COMPETENT INSTITUTIONS</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;font-weight: bold; margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">dla celów realizacji </span>
<span style="font-style: italic;">art. 8.1 </span>
<span style="margin : 0px;">Umowy</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">for the purpose of implementation of</span>
<span style="font-style: italic;margin : 0px;">art. 8.1</span>
<span style="margin : 0px;">of the Agreement</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px; font-weight: bold; margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">Terenowe jednostki Zakładu Ubezpieczeń Społecznych właściwe dla siedziby pracodawcy.</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">Local branches of Social Insurance Institution with competence over the area where the headquarters of the employer.</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;font-weight: bold; margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">dla celów realizacji </span>
<span style="font-style: italic;margin : 0px;">art. 8.2 </span>
<span style="margin : 0px;">Umowy</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px; margin : 0px; margin-bottom: 15px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">for the purpose of implementation of </span>
<span style="font-style: italic;margin : 0px;">art. 8.2 </span>
<span style="margin : 0px;">of the Agreement</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;font-weight: bold;margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">Centrala Zakładu Ubezpieczeń Społecznych</span>
</p>
<p style="font-family: Times New Roman;font-size: 14px;margin : 0px; padding-bottom: 0px; padding-top: 0px;">
<span style="margin : 0px;">Headquarters of Social Insurance Institution</span>
</p>
</div>
</div>
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