If the answer is: 1 in question 5, and 2 or 3 in question 4 go to question 7; 4 in question 5 - if the person stay abroad or arrived from abroad - fill in the year of departure / arriving

[] 1 Up to 2 months
[] 2 Between 2 and 6 months
[] 3 Between 6 and 12 months
[] 4 12 months and more

Year of departure / arriving _ _ _ _

1. For every person for whom the answer for Question 4 is 2,3,4 or 5 the real time of stay or absence should be given.
The real time of stay or absence is the time between arrival/departure and day of 20th of May.

In question 5 one answer should be chosen:

Up to 2 months,
2 to 6 months
6 to 12 months

The last option should be indicated in case of students living in dormitories or pupils learning in boarding schools.

4. more than 12 months

2. Answer up to 2 months should be chosen if a person:

Undergoes trained by the army on a compulsory basis,

Undergoes the treatment in a hospital or spa even if the treatment lasts longer than 2 months.

Please Notice: The remark above does not concern persons being treated in mental hospital and hospices. Such persons will be enumerated in the places they are staying in.

3. For every person staying abroad (answer 3 in question 4) for whom the duration of the stay abroad is longer than 12 months, the year of departure should be given.

4. For every person arriving from abroad (answer 5 in question 4) for whom the duration of the stay in Poland is longer than 12 months, the year of arrival to Poland should be given.