Pension

P3000_IT - Country specific information - Italy Articles 45(4), 46(1), 47(4-5) of Regulation (EC) No 987/2009

SED API version: 0.15.3 build preview 1 Model version: 4.1.0

1. Local case numbers

1.1 Local Case Number

1.1.1 Country *

1.1.2 Case number *

1.1.3 Institution

1.1.3.1 Institution ID *

1.1.3.2 Institution Name *

1.1.Local Case Number

2. Insured person *

2.1 Person identification *

2.1.1 Family name(s) *

2.1.2 Forename(s) *

2.1.3 Date of birth *

2.1.4 Sex *

2.1.5 Family name(s) at birth

2.1.6 Forename(s) at birth

2.1.7 PIN of the person in each institution

2.1.7.1 Personal Identification Number(s) *

2.1.7.1.1 Country *

2.1.7.1.2 Personal Identification Number (PIN) *

2.1.7.1.3 Sector

2.1.7.1.4 Institution

2.1.7.1.4.1. Institution ID *

2.1.7.1.4.2. Institution Name *

2.1.7.1.Personal Identification Number(s)

2.1.8 If PIN not provided for every institution, please provide

2.1.8.1 Place of birth

2.1.8.1.1 Town *

2.1.8.1.2 Region

2.1.8.1.3 Country *

2.1.8.2 Father's family name at birth

2.1.8.3 Forename of father

2.1.8.4 Mother's family name at birth

2.1.8.5 Forename of mother

2.2 Additional information on the person

2.2.1 Additional information on the person

2.2.1.1 Nationality

2.2.1.2 Previous family name(s)

2.2.1.3 Previous forename(s)

2.2.2 Address

2.2.2.1 Street

2.2.2.2 Building Name

2.2.2.3 Town *

2.2.2.4 Postal Code

2.2.2.5 Region

2.2.2.6 Country *

3. Claimant (survivor's pension)

3.1 Person identification *

3.1.1 Family name(s) *

3.1.2 Forename(s) *

3.1.3 Date of birth *

3.1.4 Sex *

3.1.5 Family name(s) at birth

3.1.6 Forename(s) at birth

3.1.7 PIN of the person in each institution

3.1.7.1 Personal Identification Number(s) *

3.1.7.1.1 Country *

3.1.7.1.2 Personal Identification Number (PIN) *

3.1.7.1.3 Sector

3.1.7.1.4 Institution

3.1.7.1.4.1. Institution ID *

3.1.7.1.4.2. Institution Name *

3.1.7.1.Personal Identification Number(s)

3.1.8 If PIN not provided for every institution, please provide

3.1.8.1 Place of birth

3.1.8.1.1 Town *

3.1.8.1.2 Region

3.1.8.1.3 Country *

3.1.8.2 Father's family name at birth

3.1.8.3 Forename of father

3.1.8.4 Mother's family name at birth

3.1.8.5 Forename of mother

3.2 Additional information on the person

3.2.1 Additional information on the person

3.2.1.1 Nationality

3.2.1.2 Previous family name(s)

3.2.1.3 Previous forename(s)

3.2.2 Address

3.2.2.1 Street

3.2.2.2 Building Name

3.2.2.3 Town *

3.2.2.4 Postal Code

3.2.2.5 Region

3.2.2.6 Country *

4. Additional information for old age pension claim

4.1 Additional information on the insured person

4.1.1 Ex-serviceman

4.2 Additional information on the insured person's employment and self-employment details

4.2.1 The insured person's employment type

4.2.1.1 Employment type

4.2.1.2. Please fill in the following if "Employment type" = "Employee" or "Employment type = "Civil servant"

4.2.1.2.1 Employment activity

4.2.1.2.1.1. Years carrying employment activity

4.2.1.2.1.2. Income amounts

4.2.1.2.1.2.1. Income amount

4.2.1.2.1.2.1.1. Amount

4.2.1.2.1.2.1.2. Currency

4.2.1.2.1.2.1.3. Amount effective since

4.2.1.2.1.2.1.4. Payment frequency

4.2.1.2.1.2.1.5. Please fill in the following if "Payment frequency" = "Other" :

4.2.1.2.1.2.1.5.1. Other payment frequency

4.2.1.2.1.2.1.Income amount

4.2.1.3 Please fill in the following if "Employment type" = "Self-employed"

4.2.1.3.1 Business volume

4.2.1.3.1.1. Business volume

4.2.1.3.1.2. Annual income from self-employment

4.2.1.4 Please fill in the following if "Employment type" = "Professional"

4.2.1.4.1 Professional income amounts

4.2.1.4.1.1. Professional income amount

4.2.1.4.1.1.1. Amount

4.2.1.4.1.1.2. Currency

4.2.1.4.1.1.3. Amount effective since

4.2.1.4.1.1.4. Payment frequency

4.2.1.4.1.1.5. Please fill in the following if "Payment frequency" = "Other" :

4.2.1.4.1.1.5.1. Other payment frequency

4.2.1.4.1.1.Professional income amount

4.2.1.5 Profession

4.2.1.6 Qualification

4.2.2 Other resources - sources of income

4.2.2.1 Other resources - sources of income

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4.2.2.2 Type of other resources - sources of income

4.2.2.3 Amount

4.2.2.3.1 Amount

4.2.2.3.2 Currency

4.2.2.3.3 Amount effective since

4.2.2.3.4 Payment frequency

4.2.2.3.5. Please fill in the following if "Payment frequency" = "Other" :

4.2.2.3.5.1. Other payment frequency

4.2.2.3.Amount

4.2.3 Insured person states no income

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4.2.4 Compulsory pension insurance cover entailed

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4.2.5 Retirement intended

4.2.6 Gainful employment intended

4.2.7 Income type

4.2.8 Raising child

4.3 Additional information on the insured person's benefit details

4.3.1 Entitlement to sickness benefits in kind

4.3.2 Fit for work declaration of the insured person

4.3.3 Constant attendance declaration of the insured person

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4.3.4 Functional capacity declaration of the insured person

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4.3.5 Sufficient means of subsistence declaration of the insured person

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4.3.6 Assistance benefit

4.3.7 Benefits with additional benefits

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4.4 Additional information on the spouse

4.4.1 Gainful employment

4.4.1.1 Gainful employment

4.4.1.2 Amounts

4.4.1.2.1 Amount

4.4.1.2.1.1. Amount

4.4.1.2.1.2. Currency

4.4.1.2.1.3. Amount effective since

4.4.1.2.1.4. Payment frequency

4.4.1.2.1.5. Please fill in the following if "Payment frequency" = "Other" :

4.4.1.2.1.5.1. Other payment frequency

4.4.1.2.1.Amount

4.4.2 Fit for work

4.4.3 Pension recipient

4.4.3.1 Pension recipient

4.4.3.1.1 Pension recipient

4.4.3.1.2 Pension type

4.4.3.1.3 Pension number

4.4.3.2 Institution

4.4.3.2.1 Institution

4.4.3.2.1.1. Country *

4.4.3.2.1.2. Personal Identification Number (PIN) *

4.4.3.2.1.3. Sector

4.4.3.2.1.4. Institution

4.4.3.2.1.4.1. Institution ID *

4.4.3.2.1.4.2. Institution Name *

4.4.3.3 Amounts

4.4.3.3.1 Amount

4.4.3.3.1.1. Amount

4.4.3.3.1.2. Currency

4.4.3.3.1.3. Amount effective since

4.4.3.3.1.4. Payment frequency

4.4.3.3.1.5. Please fill in the following if "Payment frequency" = "Other" :

4.4.3.3.1.5.1. Other payment frequency

4.4.3.3.1.Amount

4.4.3.4 Start date of benefits payment

4.4.3.5 End date of benefits payment

4.4.3.6 Pension based on period of insurance of the

4.4.3.Pension recipient

4.4.4 Other benefits received by the spouse

4.4.4.1 Other benefits received by the spouse

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4.4.4.2 Type of other benefits

4.4.4.3 Amount

4.4.4.3.1 Amount

4.4.4.3.2 Currency

4.4.4.3.3 Amount effective since

4.4.4.3.4 Payment frequency

4.4.4.3.5. Please fill in the following if "Payment frequency" = "Other" :

4.4.4.3.5.1. Other payment frequency

4.4.4.3.Amount

4.4.5 Other resources - sources of income

4.4.5.1 Other resources - sources of income

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4.4.5.2 Type of other resources - sources of income

4.4.5.3 Amount

4.4.5.3.1 Amount

4.4.5.3.2 Currency

4.4.5.3.3 Amount effective since

4.4.5.3.4 Payment frequency

4.4.5.3.5. Please fill in the following if "Payment frequency" = "Other" :

4.4.5.3.5.1. Other payment frequency

4.4.5.3.Amount

4.5 Additional information on the children of the insured person

4.5.1 Additional information on the children of the insured person

4.5.1.1 Family name(s)

4.5.1.2 Forename(s)

4.5.1.3 Family Status

4.5.1.3.1 Family Status

4.5.1.3.2 Family status date

4.5.1.3.Family Status

4.5.2 Child

4.5.3 Benefits for child

4.5.3.1 Benefits for child

4.5.3.2 Type of benefit

4.5.3.3 Amount

4.5.3.3.1 Amount

4.5.3.3.2 Currency

4.5.3.3.3 Amount effective since

4.5.3.3.4 Payment frequency

4.5.3.3.5. Please fill in the following if "Payment frequency" = "Other" :

4.5.3.3.5.1. Other payment frequency

4.5.3.3.Amount

4.5.4 Address

4.5.4.1 Street

4.5.4.2 Building Name

4.5.4.3 Town *

4.5.4.4 Postal Code

4.5.4.5 Region

4.5.4.6 Country *

4.5.Additional information on the children of the insured person

4.6 Additional information on ascendants and other family members

4.6.1 Additional information on ascendants and other family members

4.6.1.1 Surname

4.6.1.2 Forename(s)

4.6.1.3 Date of birth

4.6.1.4 Relationship

4.6.1.5 Address

4.6.1.5.1 Street

4.6.1.5.2 Building Name

4.6.1.5.3 Town *

4.6.1.5.4 Postal Code

4.6.1.5.5 Region

4.6.1.5.6 Country *

4.6.1.6 Ascendant or other family member

4.6.1.Additional information on ascendants and other family members

4.7 Unable to provide the requested information in this section

4.7.1 Is the requested information available?

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4.7.2. Please fill in the following if the above is answered "No".

4.7.2.1 Reason

5. Additional information for survivor's pension claim

5.1 Additional information on the claimant

5.1.1 Dependent from the deceased insured person

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5.1.2 Ex-serviceman

5.1.3 Both parents deceased

5.1.4 Fit for work declaration of the claimant

5.1.5 The claimant is unfit for work

5.1.6 Constant attendance declaration of the claimant

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5.2 Additional information on the claimant's employment and self-employment details

5.2.1 Employment and self-employment details

5.2.1.1 Employment and self-employment details

5.2.1.1.1 Claimant employment

5.2.1.1.1.1. Employment type

5.2.1.1.1.2. Please fill in the following if "Employment type" = "Employee" or "Employment type = "Civil servant"

5.2.1.1.1.2.1. Employment activity

5.2.1.1.1.2.1.1. Years carrying employment activity

5.2.1.1.1.2.1.2. Income amounts

5.2.1.1.1.2.1.2.1. Income amount

5.2.1.1.1.2.1.2.1.1. Amount

5.2.1.1.1.2.1.2.1.2. Currency

5.2.1.1.1.2.1.2.1.3. Amount effective since

5.2.1.1.1.2.1.2.1.4. Payment frequency

5.2.1.1.1.2.1.2.1.5. Please fill in the following if "Payment frequency" = "Other" :

5.2.1.1.1.2.1.2.1.5.1. Other payment frequency

5.2.1.1.1.2.1.2.1.Income amount

5.2.1.1.1.3. Business volume

5.2.1.1.1.3.1. Business volume

5.2.1.1.1.3.2. Annual income from self-employment

5.2.1.1.1.4. Please fill in the following if "Employment type" = "Professional"

5.2.1.1.1.4.1. Professional income amounts

5.2.1.1.1.4.1.1. Professional income amount

5.2.1.1.1.4.1.1.1. Amount

5.2.1.1.1.4.1.1.2. Currency

5.2.1.1.1.4.1.1.3. Amount effective since

5.2.1.1.1.4.1.1.4. Payment frequency

5.2.1.1.1.4.1.1.5. Please fill in the following if "Payment frequency" = "Other" :

5.2.1.1.1.4.1.1.5.1. Other payment frequency

5.2.1.1.1.4.1.1.Professional income amount

5.2.1.1.2 Other resources - sources of income

5.2.1.1.2.1. Other resources - sources of income

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5.2.1.1.2.2. Type of other resources - sources of income

5.2.1.1.2.3. Amount

5.2.1.1.2.3.1. Amount

5.2.1.1.2.3.2. Currency

5.2.1.1.2.3.3. Amount effective since

5.2.1.1.2.3.4. Payment frequency

5.2.1.1.2.3.5. Please fill in the following if "Payment frequency" = "Other" :

5.2.1.1.2.3.5.1. Other payment frequency

5.2.1.1.2.3.Amount

5.2.1.1.Employment and self-employment details

5.3 Additional information on the claimant's benefit details

5.3.1 Basic benefit

5.3.2 Assistance benefit

5.3.3 Educational training benefit

5.3.4 Benefit covering expenses care for children

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5.4 Additional information on the deceased insured person's benefit details

5.4.1 Ex-serviceman

5.4.2 Receiver of a pension at the date of marriage

5.4.2.1 Receiver of a pension at the date of marriage

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5.4.2.2 Type of pension scheme

5.4.3 Survivor insurance

5.4.4 End date of pension payment

5.4.5 Pension based on period of

5.5 Additional information on the deceased insured person's employment details

5.5.1 Gainful employment

5.5.2 Death caused by the claimant

5.5.2.1 Death caused by the claimant

5.5.2.2 Legal action taken against the responsible party

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5.5.2.3 Total compensation received

5.5.2.4 Date of deletion from the register

5.6 Additional information on the children of the deceased insured person

5.6.1 Name of the child

5.6.2 Child

5.6.3 Tax identification number

5.6.4 Child invalidity

5.6.5 Child under 26 still at school

5.6.Additional information on the children of the deceased insured person

5.7 Additional information on ascendants and other family members

5.7.1 Additional information on ascendants and other family members

5.7.1.1 Surname

5.7.1.2 Forename(s)

5.7.1.3 Date of birth

5.7.1.4 Relationship

5.7.1.5 Address

5.7.1.5.1 Street

5.7.1.5.2 Building Name

5.7.1.5.3 Town *

5.7.1.5.4 Postal Code

5.7.1.5.5 Region

5.7.1.5.6 Country *

5.7.1.6 Ascendant or other family member

5.7.1.Additional information on ascendants and other family members

5.8 Unable to provide the requested information in this section

5.8.1 Is the requested information available?

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5.8.2. Please fill in the following if the above is answered "No".

5.8.2.1 Reason

6. Additional information for invalidity pension claim

6.1 Additional information on the insured person

6.1.1 Ex-service man

6.1.2 Insurance against work incapacity

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6.1.3 Rehabilitation courses

6.1.3.1 Rehabilitation courses

6.1.3.2. Please fill in the following if "Rehabilitation courses" = "Occupational" :

6.1.3.2.1 Occupation

6.1.4 Profession

6.1.5 Qualification

6.2 Additional information on the insured person's employment and self-employment details

6.2.1 Employment and self-employment details

6.2.1.1 Claimant employment

6.2.1.1.1 Employment type

Please fill in the following if "Employment type" = "Employee" or "Employment type = "Civil servant"

Please fill in the following if "Employment type" = "Self-employed"

Please fill in the following if "Employment type" = "Professional"

6.2.1.1.2.1. Employment activity

6.2.1.1.2.1.1. Years carrying employment activity

6.2.1.1.2.1.2. Amounts

6.2.1.1.2.1.2.1. Amount

6.2.1.1.2.1.2.1.1. Amount

6.2.1.1.2.1.2.1.2. Currency

6.2.1.1.2.1.2.1.3. Amount effective since

6.2.1.1.2.1.2.1.4. Payment frequency

6.2.1.1.2.1.2.1.5. Please fill in the following if "Payment frequency" = "Other" :

6.2.1.1.2.1.2.1.5.1. Other payment frequency

6.2.1.1.2.1.2.1.Amount

6.2.1.1.3.1. Business volume

6.2.1.1.3.1.1. Business volume

6.2.1.1.3.1.2. Annual income from self-employment

6.2.1.1.4.1. Professional income amounts

6.2.1.1.4.1.1. Professional income amount

6.2.1.1.4.1.1.1. Amount

6.2.1.1.4.1.1.2. Currency

6.2.1.1.4.1.1.3. Amount effective since

6.2.1.1.4.1.1.4. Payment frequency

6.2.1.1.4.1.1.5. Please fill in the following if "Payment frequency" = "Other" :

6.2.1.1.4.1.1.5.1. Other payment frequency

6.2.1.1.4.1.1.Professional income amount

6.2.1.2 Other resources - sources of income

6.2.1.2.1 Other resources - sources of income

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6.2.1.2.2 Type of other resources - sources of income

6.2.1.2.3 Amount

6.2.1.2.3.1. Amount

6.2.1.2.3.2. Currency

6.2.1.2.3.3. Amount effective since

6.2.1.2.3.4. Payment frequency

6.2.1.2.3.5. Please fill in the following if "Payment frequency" = "Other" :

6.2.1.2.3.5.1. Other payment frequency

6.2.1.2.3.Amount

6.2.1.3 Insured person states no income

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6.2.1.4 Employer

6.2.1.4.1. If you have information from the employee, please fill in the following:

6.2.1.4.1.1. Identification of the employer, by the employee

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6.2.1.4.1.2. Identification of the employer, by the employee

6.2.1.4.1.2.1. Name *

6.2.1.4.1.2.2. Address

6.2.1.4.1.2.2.1. Street

6.2.1.4.1.2.2.2. Building Name

6.2.1.4.1.2.2.3. Town *

6.2.1.4.1.2.2.4. Postal Code

6.2.1.4.1.2.2.5. Region

6.2.1.4.1.2.2.6. Country *

6.2.1.4.2. If you have information from the employer, please fill in the following:

6.2.1.4.2.1. Identification of the employer, by the employer

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6.2.1.4.2.2. Identification of the employer, by the employer

6.2.1.4.2.2.1. Registration number

6.2.1.4.2.2.2. Social security number

6.2.1.4.2.2.3. Fiscal number

6.2.1.4.2.2.4. Business register

6.2.1.4.Employer

6.2.1.5 Start date of employment

6.2.1.Employment and self-employment details

6.3 Additional information on the insured person's benefit details

6.3.1 Entitlement to sickness benefits in kind

6.3.2 Assistance benefit

6.3.3 Benefits for assistance provided by third person

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6.4 Additional information on the spouse

6.4.1 Gainful employment

6.4.1.1 Gainful employment

6.4.1.2 Amount

6.4.1.2.1 Amount

6.4.1.2.2 Currency

6.4.1.2.3 Amount effective since

6.4.1.2.4 Payment frequency

6.4.1.2.5. Please fill in the following if "Payment frequency" = "Other" :

6.4.1.2.5.1. Other payment frequency

6.4.1.2.Amount

6.4.2 Fit for work

6.4.3 Pension recipient

6.4.3.1 Pension recipient

6.4.3.2 Pension type

6.4.3.3 Pension number

6.4.3.4 Institution

6.4.3.4.1 Country *

6.4.3.4.2 Personal Identification Number (PIN) *

6.4.3.4.3 Sector

6.4.3.4.4 Institution

6.4.3.4.4.1. Institution ID *

6.4.3.4.4.2. Institution Name *

6.4.3.5 Amount

6.4.3.5.1 Amount

6.4.3.5.2 Currency

6.4.3.5.3 Amount effective since

6.4.3.5.4 Payment frequency

6.4.3.5.5. Please fill in the following if "Payment frequency" = "Other" :

6.4.3.5.5.1. Other payment frequency

6.4.3.6 Date from which the benefit was due

6.4.3.7 Start date of benefits payment

6.4.3.8 End date of benefits payment

6.4.3.9 Pension based on period of

6.4.3.Pension recipient

6.4.4 Other benefits received by the spouse

6.4.4.1 Other benefits received by the spouse

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6.4.4.2 Type of other benefits

6.4.4.3 Amount

6.4.4.3.1 Amount

6.4.4.3.2 Currency

6.4.4.3.3 Amount effective since

6.4.4.3.4 Payment frequency

6.4.4.3.5. Please fill in the following if "Payment frequency" = "Other" :

6.4.4.3.5.1. Other payment frequency

6.4.4.3.Amount

6.4.5 Other resources - sources of income

6.4.5.1 Other resources - sources of income

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6.4.5.2 Type of other resources - sources of income

6.4.5.3 Amount

6.4.5.3.1 Amount

6.4.5.3.2 Currency

6.4.5.3.3 Amount effective since

6.4.5.3.4 Payment frequency

6.4.5.3.5. Please fill in the following if "Payment frequency" = "Other" :

6.4.5.3.5.1. Other payment frequency

6.4.5.3.Amount

6.5 Additional information on the children of the insured person

6.5.1 Name of the child

6.5.2 Benefits for child

6.5.2.1 Benefits for child

6.5.2.2 Type of benefit

6.5.2.3 Amount

6.5.2.3.1 Amount

6.5.2.3.2 Currency

6.5.2.3.3 Amount effective since

6.5.2.3.4 Payment frequency

6.5.2.3.5. Please fill in the following if "Payment frequency" = "Other" :

6.5.2.3.5.1. Other payment frequency

6.5.2.3.Amount

6.5.3 Address

6.5.3.1 Street

6.5.3.2 Building Name

6.5.3.3 Town *

6.5.3.4 Postal Code

6.5.3.5 Region

6.5.3.6 Country *

6.5.Additional information on the children of the insured person

6.6 Additional information on ascendants and other family members

6.6.1 Surname

6.6.2 Forenames

6.6.3 Birth date

6.6.4 Relationship

6.6.5 Address

6.6.5.1 Street

6.6.5.2 Building Name

6.6.5.3 Town *

6.6.5.4 Postal Code

6.6.5.5 Region

6.6.5.6 Country *

6.7 Unable to provide the requested information in this section

6.7.1 Is the requested information available?

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6.7.2. Please fill in the following if the above is answered "No".

6.7.2.1 Reason

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