Номер актовой записи при рождении | Указывается номер актовой записи, содержащийся в свидетельстве о рождении | Заполняется при предъявлении свидетельства о рождении |
Идентификационный номер налогоплательщика (при наличии) | Указывается идентификационный номер налогоплательщика | Допускается отсутствие данного реквизита |
Номер актовой записи при рождении | Указывается номер актовой записи, содержащийся в свидетельстве о рождении | Заполняется при предъявлении свидетельства о рождении |
Идентификационный номер налогоплательщика (при наличии) | Указывается идентификационный номер налогоплательщика | Допускается отсутствие данного реквизита |
1.3.2.3.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.3.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
1.3.2.7.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.7.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
1.3.2.11.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.11.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
Форма АДВ-1 | Код по ОКУД |
Анкета зарегистрированного лица Заполняется печатными буквами ┌────────────────────────────────────────────────────────────────────────────────────────────┐ │Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Пол ._. (м/ж) │ │Дата рождения "._._." ._._._._._._._._. ._._._._. года │ │Место рождения: │ │ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._. │ │ район ._._._._._._._._._._._._._._._._._._._._._. │ │ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._. │ │ страна ._._._._._._._._._._._._._._._._._._._._._. │ │Гражданство ._._._._._._._._._._._._._._._._._._._._._. │ │Адрес постоянного места жительства │ │Адрес индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │ │регистрации ._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._. │ │Адрес места индекс ._._._._._._._. адрес ._._._._._._._._._._._._. │ │жительства ._._._._._._._._._._._._._._._._._._._._._._._. │ │фактический ._._._._._._._._._._._._._._._._._._._._._._._. │ │ (заполнять при отличии от адреса регистрации) │ │Телефоны ._._._._._._._._._._._._._._._._._._._._._._. │ │ (домашний и/или рабочий) │ │Документ, удостоверяющий личность │ │Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (указать вид документа, удостоверяющего личность, в соответствии с│ │ законодательством Российской Федерации) │ │Серия, номер ._._._._._._._._._._._._._._._._._._._. │ │Дата выдачи "._._." ._._._._._._._._. ._._._._. года │ │Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │(заполняется при предъявлении свидетельства о рождении) │ │ │ │Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._._._._. │ └────────────────────────────────────────────────────────────────────────────────────────────┘ Дата заполнения Подпись зарегистрированного лица (представителя) "._._." ._._._._._._._._. ._._._._. года ________________________________
Форма АДВ-2 | Код по ОКУД |
Заявление об изменении анкетных данных зарегистрированного лица, содержащихся в индивидуальном лицевом счете Заполняется печатными буквами ┌────────────────────────────────────────────────────────────────────────────────────────────┐ │Страховой номер ._._._. - ._._._. - ._._._. ._._. │ │Ф.И.О., указанные в документе, подтверждающем регистрацию в системе индивидуального│ │(персонифицированного) учета │ │Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Новые анкетные данные (указать только изменившиеся данные) │ │Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Пол ._. (м/ж) │ │Дата рождения "._._." ._._._._._._._._._ ._._._._. года │ │Место рождения: │ │ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ район ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ страна ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Гражданство ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Адрес постоянного места жительства │ │Адрес индекс ._._._._._._._. адрес ._._._._._._._._._._._._. │ │регистрации ._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Адрес места индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │ │жительства ._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │фактический ._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (заполнять при отличии от адреса регистрации) │ │Телефоны ._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (домашний и/или рабочий) │ │Документ, удостоверяющий личность │ │Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (указать вид документа, удостоверяющего личность, в соответствии с│ │ законодательством Российской Федерации) │ │Серия, номер ._._._._._._._._._.___._._._._._._. │ │Дата выдачи "._._." ._._._._._._._._. ._._._._. года │ │Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │(заполняется при предъявлении свидетельства о рождении) │ │Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._. │ └────────────────────────────────────────────────────────────────────────────────────────────┘ Дата заполнения Подпись зарегистрированного лица (представителя) "._._." ._._._._._._._._. ._._._._. года ________________________________
Форма АДВ-3 | Код по ОКУД |
Заявление о выдаче документа, подтверждающего регистрацию в системе индивидуального (персонифицированного) учета Заполняется печатными буквами ┌────────────────────────────────────────────────────────────────────────────────────────────┐ │Данные, указанные в документе, подтверждающем регистрацию в системе индивидуального│ │(персонифицированного) учета │ │ │ │Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ │ │Пол ._. (м/ж) │ │Дата рождения "._._." ._._._._._._._._._._._._._._. года │ │Место рождения: │ │ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ район ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._. │ │ страна ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Гражданство ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Адрес постоянного места жительства │ │Адрес индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │ │регистрации ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Адрес места индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │ │жительства ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │фактический ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (заполнять при отличии от адреса регистрации) │ │Телефоны ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (домашний и/или рабочий) │ │Документ, удостоверяющий личность │ │Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ (указать вид документа, удостоверяющего личность, в соответствии с│ │ законодательством Российской Федерации) │ │Серия, номер ._._._._._._._._._. ._._._._._._. │ │Дата выдачи "._._." ._._._._._._._._. ._._._._. года │ │Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │ ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │ │(заполняется при предъявлении в качестве документа, удостоверяющего личность,│ │свидетельства о рождении) │ │Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._._. │ └────────────────────────────────────────────────────────────────────────────────────────────┘ Дата заполнения Подпись "._._." ._._._._._._._._. ._._._._. года зарегистрированного лица _______ (представителя) Заполняется страхователем (работодателем) ┌─────────────────────────────────────────────────────────────────────────┐ │Заверяю, что зарегистрированное лицо имеет открытый индивидуальный │ │лицевой счет со страховым номером ._._._. - ._._._. - ._._._. ._._., │ │на основании которого сведения о его стаже и заработке │ │представлялись/будут представлены в ПФР. │ │ (ненужное зачеркнуть) │ │ │ │Наименование должности руководителя Подпись Расшифровка подписи│ │ │ │Дата │ └─────────────────────────────────────────────────────────────────────────┘