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import type { AbsoluteTime } from "@gnu-taler/taler-util";
import type { FlexibleForm, InternationalizationAPI } from "@gnu-taler/web-util/browser";
import { BaseForm } from "./declaration.js";
import { resolutionSection } from "./simplest.js";
export const v1 = (i18n: InternationalizationAPI) => (current: BaseForm): FlexibleForm<Form902_15.Form> => ({
design: [
{
title:
i18n.str`Information on life insurance policies with separately managed accounts/securities accounts`,
fields: [
{
type: "textArea",
props: {
name: "contractingPartner",
label: i18n.str`Contracting partner`,
},
},
{
type: "text",
props: {
name: "contractualRelationship",
label:
i18n.str`Name or number of the contractual relationship between the contracting party and the financial intermediary`,
},
},
{
type: "text",
props: {
name: "insurancePolicy",
label: i18n.str`Insurance policy`,
},
},
{
type: "caption",
props: {
label:
i18n.str`The contracting partner confirms in accordance with Art. 41a SRO Regulations that it is a licensed and state-supervised insurance company and that it has entered into the above-mentioned contractual relationship the assets connected to the life insurance policy also mentioned above.`,
},
},
{
type: "caption",
props: {
label:
i18n.str`In relation with the above insurance policy, the contracting partner gives the following further details`,
},
},
{
type: "group",
props: {
before: i18n.str`Policy holder`,
fields: [
{
type: "text",
props: {
name: "holder.fullName",
label:
i18n.str`Last name(s), first name(s)/entity`,
},
},
{
type: "text",
props: {
name: "holder.address",
label:
i18n.str`Actual address of domicile/registered office (incl. country)`,
},
},
{
type: "absoluteTime",
props: {
name: "holder.dateOfBirth",
label: i18n.str`Date of birth`,
pattern: "dd/MM/yyyy",
// help: i18n.str`format 'dd/MM/yyyy'`,
},
},
{
type: "text",
props: {
name: "holder.nationality",
label: i18n.str`Nationality`,
},
},
],
},
},
{
type: "group",
props: {
before:
i18n.str`Person actually (not in a fiduciary capacity) paying the premiums (to be filled in if not identical with point 1 above)`,
fields: [
{
type: "text",
props: {
name: "premiumPayer.fullName",
label:
i18n.str`Last name(s), first name(s)/entity`,
},
},
{
type: "text",
props: {
name: "premiumPayer.address",
label:
i18n.str`Actual address of domicile/registered office (incl. country)`,
},
},
{
type: "absoluteTime",
props: {
name: "premiumPayer.dateOfBirth",
label: i18n.str`Date of birth`,
pattern: "dd/MM/yyyy",
// help: i18n.str`format 'dd/MM/yyyy'`,
},
},
{
type: "text",
props: {
name: "premiumPayer.nationality",
label: i18n.str`Nationality`,
},
},
],
},
},
{
type: "caption",
props: {
label:
i18n.str`The contracting partner hereby undertakes to automatically inform the financial intermediary of any changes. The contracting partner hereby also declares having been given permission by the above individuals and/or entities to transmit their data to the financial intermediary`,
},
},
{
type: "text",
props: {
name: "signature",
label: i18n.str`Signature`,
},
},
{
type: "caption",
props: {
label:
i18n.str`It is a criminal offense to deliberately provide false information on this form (article 251 of the Swiss Criminal Code, document forgery)`,
},
},
],
},
resolutionSection(current, i18n),
],
});
namespace Form902_15 {
interface Person {
fullName: string;
address: string;
dateOfBirth: AbsoluteTime;
nationality: string;
}
export interface Form extends BaseForm {
contractingPartner: string;
contractualRelationship: string;
insurancePolicy: string;
holder: Person;
premiumsPayer: Person;
signature: string;
}
}
|
