QUESTIONNAIRE (TRC) Temporary Resident Card

Unfortunately, we cannot accept your application because you have not accepted the processing of your personal data.

IQUESTIONNAIRE

A. Personal data

(Enter the details exactly as they appear on your passport)

* - indicates the required question

* Date of birth

* Select gender

—Proszę wybrać opcję—womanman

* Select country of birth

—Proszę wybrać opcję—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiChileChinaCroatiaCyprusChadCzech RepublicDishesCongoDominican RepublicDominicaDjiboutiEgyptEcuadorEritreaEstoniaEswatiniEthiopiaFijiPhilippinesFinlandFranceGabonGambiaGhanaGreeceGrenadaGeorgiaGuyanaHaitiNetherlandsHondurasIndiaIndonesiaIraqIranIrelandIcelandIsraelJamaicaJapanYemenCambodiaCameroonCanadaCatarrhKazakhstanKenyaKyrgyzstanKiribatiColombiaChambersDemocratic Republic of the CongoNorth KoreaSouth KoreaCosta RicaKubaKuwaitLaosLesothoLebanonLiberiaLibyaLiechtensteinLithuaniaLuxembourgLatviaMacedoniaMadagascarMalawiMaldivesMalaysiaSmallMaltaMoroccoMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMozambiqueNamibiaNauruNepalGermanyNigeriaNicaraguaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPolandPortugalSouth AfricaRussiaRomaniaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSalvadorSamoaSan MarinoSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSri LankaUnited StatesSwazilandSudanSouth SudanSurinameSyriaSwitzerlandSwedenTajikistanThailandTanzaniaEast TimorTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUkraineUruguayUzbekistanVanuatuVaticanVenezuelaUnited KingdomVietnamItalyCôte d'IvoireMarshall IslandsSolomon IslandsZambiaZimbabwe

* Select your nationality

—Proszę wybrać opcję—AfghanAlbanianAlgerianAndorraAngolanantigua and barbudaArgentineArmenianAustralianAustrianAzerbaijanBahamasBahrainbangladeshBarbadianBelarusianBelgianBelizeanBeninesebhutanBolivianBosnianbotswanabrazilianBruneiBulgarianburkitaBurundianChileanChineseCroatianCyprusczadzkaCzechDanishCongoDominicanDominicanDjiboutianEgyptianEcuadorEritreanEstonianeswatynskaEthiopianFijianphilippinesFinnishfrenchgabonGambianGhanaGreekGrenadianGeorgianGuyanaHaitianDutchHonduranIndianIndonesianIraqIranianIrishIcelandicisraeliJamaicanJapaneseYemenCambodianCamerooncanadianQatarKazakhKenyakyrgyzkiribathyColombianComorosCongoNorth KoreaSouth KoreaCosta RicaCubanKuwaitLaolesothianLebaneseLiberianLibyaliechtensteinLithuanianLuxembourgLatvianMacedonianmadagascarMalawiMaldivesMalaysianMalianMalteseMoroccanMoorishmauritiusMexicanmicronesiaMoldovamonackMongolianMozambiqueNamibianNaurinNepalGermanNigerianNigerianNicaraguanNorwegianomanPakistanipalauianpanamapapuaparaguayanPeruvianpolandPortugueseSouth AfricanRussianRomanianRwandasaint kitts and nevissaint luciasaint vincent and grenadinesSalvadorSamoansanmarineSenegaleseSerbianSeychellessierraleonejskaSingaporeSlovakSloveneSomalisrilankyAmericanSwazilandSudanSouth SudanSurinameSyrianswissSwedishTajikThaiTanzaniantimorskaTogoleseTongantrinidadTunisianTurkishTurkmenistanTuvaliUkrainianuruguayanuzbekvanuatuVaticanvenezuelanUKVietnameseitalianivoirianmarshalsalomanZambianzimbabweskа

* Select your nationality

—Proszę wybrać opcję—afghanalbanianalgerianandorraAngolanantigua and barbudaArgentinearmenianAustralianAustrianazerbaijanBahamasBahrainbangladeshBarbadianbelarusianBelgianBelizeanBeninesebhutanBolivianBosnianbotswanabrazilianbrunaBulgarianburkitanburundianChileanchineseCroatiancyprusczadzkieCzechDanishCongoDominicanDominicanDjiboutianEgyptianecuadorianEritreanestonianesvatínethiopianFijianphilippinesFinnishfrenchgaboneseGambianGhanaGreekgrenadaGeorgianGuyanaHaitianDutchHonduranIndiaindonesianIraqiIranianIrishIcelandicisraeliJamaicanJapaneseYemenCambodianCamerooniancanadiancathartickazakhstanKenyakyrgyzkiribatiColombiancomorianCongoNorth KoreaSouth KoreaCosta RicaCubanKuwaitLaolesothianLebanonLiberianLibyaliechtensteinlithuanianLuxembourgLatvianMacedonianmadagascarmalawiMaldivesMalaysianMalianMaltesemoroccoMoorishmauritiusMexicanmicronesianMoldavianmonacoMongolianMozambiqueNamibiannauranNepalGermanNigerianNigerianNicaraguanNorwegianOmanipakistanpalauipanamapapuaparaguayanPeruvianPolishportugalSouth AfricanrussianRomanianRwandasaint kitts and nevissaint luciasaint vincent and grenadinesSalvadorSamoansanmarinsenegalserbianseychellessierraleonejskieSingaporeSlovakSlovenianSomalisrilankyUSSwazilandsudanSouth SudansurinameSyrianswissSwedishTajikThaiTanzaniantimorraTogolesetongytrinidadtunisiaTurkishTurkmenistantuvaliukrainianuruguayanuzbekvanuatuVaticanvenezuelanUKVietnameseitalianivoirianmarshalsalmanZambianzimbabweski

* Select marital status

—Proszę wybrać opcję—bachelorMissmarriedmarriedwidowerwidowdivorceddivorced

* Education

nobasicprofessionalMediumhigher

* Select eye colour

—Proszę wybrać opcję—brownish greenbrownblackredblueindefinitebeergrey-bluegrey-greengreymulticolouredgreen-bluegreen

B. PLACE OF RESIDENCE OF THE FOREIGNER

* - indicates the required question

Place of current residence in Poland

* Select your province

—Proszę wybrać opcję—Lower SilesiaKujawsko-pomorskieLublinLubuskieLodzMałopolskieMazoviaOpolskiePodkarpackiePodlaskiePomeranianSilesiaŚwiętokrzyskieWarminsko-MazurskieWielkopolskieZachodniopomorskie

* State the name of your employer.

* State the address, the place of your work.

C. Foreigner's family members residing in the territory of the Republic of Poland

* - indicates the required question

Are your family members located in Poland?

yesnot

D. Foreigner's residence on the territory of the Republic of Poland

* - indicates the required question

Your current residence in Poland

* Please indicate the date of your last entry into the Republic of Poland.

Please state the basis of your stay:

—Proszę wybrać opcję—VisaVisa-free travelResidence cardother document

* Have you already applied (TRC) for a temporary residence card in Poland?

yesnot

Previous stays in the Republic of Poland (fill in if you have been to Poland in the past).

yesnot

Foreign travel and stays outside the territory of the Republic of Poland within the last 5 years (country, period of stay: e.g. Bangladesh, 01/08/2019 - 01/08/2019).

* Are you in detention or placed in a guarded centre or in custody for foreigners, have you been subjected to a preventive measure in the form of a ban on leaving the country, are you serving a custodial sentence or have you been placed in pre-trial detention?

yesnot

Remember to send me your passport and all the pages saved in it on WhatsApp number 539 999 549