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СВЕДЕНИЯ О ТРУДОВОМ СТАЖЕ ЗАСТРАХОВАННОГО ЛИЦА ЗА ПЕРИОД ДО РЕГИСТРАЦИИ В СИСТЕМЕ ОБЯЗАТЕЛЬНОГО ПЕНСИОННОГО СТРАХОВАНИЯ (Форма СЗВ-К) (Приложение 1 к Постановлению Правления ПФ РФ от 11.01.2017 N 2п)

Дата документа11.01.2017
МеткиСведения

    Данная форма вступила в силу по истечении 10 дней после дня официального опубликования Постановления Правления ПФ РФ от 11.01.2017 N 2п
    


 

Приложение 1

УТВЕРЖДЕНЫ
постановлением Правления
Пенсионного фонда
Российской Федерации
от 11 января 2017 г. N 2п

Форма СЗВ-ККод по ОКУД  

СВЕДЕНИЯ
О ТРУДОВОМ СТАЖЕ ЗАСТРАХОВАННОГО ЛИЦА ЗА ПЕРИОД ДО РЕГИСТРАЦИИ В СИСТЕМЕ ОБЯЗАТЕЛЬНОГО ПЕНСИОННОГО СТРАХОВАНИЯ

Страховой номер._._._. - ._._._. - ._._._._._._.          Тип формы        
                                              
Фамилия._._._._._._._._._._._._._._._._._._._._._._.        исходная         
                                              
Имя  ._._._._._._._._._._._._._._._._._._._._._._.        корректирующая         
                                              
Отчество  ._._._._._._._._._._._._._._._._._._._._._._.        отменяющая         
                                              
Дата рождения"._._." ._._._._._._._._._. ._._._._. года                  
                                              
Территориальные условия проживания на 31.12.2001                              
._._._._._._._._._._.                                    

 
    Периоды трудовой или иной общественно полезной деятельности
 

1. Наименование организации._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Вид деятельности (код) ._._._._._._._._._._.   

N п/п Начало периода (дд.мм.гггг) Конец периода (дд.мм.гггг) Территориальные условия (код) Особые условия труда (код) Исчисляемый трудовой стаж Выслуга лет
основание (код) дополнительные сведения основание (код) дополнительные сведения
(профессия или должность)
(профессия или должность)

2. Наименование организации._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Вид деятельности (код) ._._._._._._._._._._.   

N п/п Начало периода (дд.мм.гггг) Конец периода (дд.мм.гггг) Территориальные условия (код) Особые условия труда (код) Исчисляемый трудовой стаж Выслуга лет

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