Questionnaire Text

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5. Your place of birth ________
Indicate the name of the autonomous district, region, area or republic of the Russian Federation or the name of the State concerned
Questionnaire instructions view entire document:  text  image
Question 5. Your place of birth
For persons born in the Russian Federation you should indicate only the region, territory, republic, autonomous area, autonomous region, the cities of Moscow or St. Petersburg (e.g., Saratov Region, Republic of Daghestan, Chukot Autonomous Area).
Administrative and territorial changes which occurred after the person's birth are disregarded.
For those born outside the Russian Federation - in foreign countries or in one of the republics of the former Soviet Union - indicate the state or former Soviet republic (e.g., Kazakhstan, Latvia, Poland, Canada).
Do not complete the field for digits located after the entry of the place of birth made in writing.