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Questionnaire
Complete the questionnaire for foreigners below.
Questionnaire
Surname
Previously used surname (surnames) – if you had one
Family name
Name (names)
Previously used name (names) – if you had one
Father’s name
Mother’s name
Mother’s maiden name
Place of birth (city)
Date of birth
PASSPORT number
Country of birth
Nationality
Citizenship
Marital status
Education
Height
Colour of eyes
Special marks (e.g. tattoos or scars)
PESEL number (if applicable)
Telephone Number
Email
Place of the current residence on the territory of the Republic of Poland
Do you have family members living in the Republic of Poland? (if yes, please fill missing data for each of family member)
Please provide the date of your last entry into the territory of the Republic of Poland
What is the legal basis for your current stay on the territory of the Republic of Poland?
Visa free regime
Visa
Temporary residence permit
International temporary residence permit
Have I been punished? (e.g. tickets, court cases)
Submit