QUESTIONNARE (POLL)

1) Name, surname :
2) Home address with the Postal code (index):
3) Since when have you lived in your place of residence (at home):
4) Family name at birth (family):
5) Place of birth (town, city):
6) Country of birth: India
7) In what country do you officially live (nationality): India
8) Ethnicity: Asia
9) Married/single?:
10) Highest educational achievement, graduation? (diploma?):Diploma
11) Current profession/employment: Truck Driver
12) Where do you work now?, company name, address:
13) Permanent address:

Wife
1) Date married:
2) Name: R
3) Surname:
4) Maiden name:
5) Date of birth:
6) Place and country of birth:
7) Nationality: Indian

Parents
1) Father's name:
2) Surname:
3) Date of birth: ........
4) Nationality: Indian
14) Permanent address:
5) Mother's name:
6) Surname:
7) Mother's maiden name:
8) Date of birth: .............
9) Nationality: Indian
Permanent address:

Children /all/
1) Name and surname:
1.
2.
2) Date and place of birth:
1.
2.
3) Nationality:
1. Indian
2. Indian

Permanent address:
Brother / sister /all/
1) Name and surname:
2) Date and place of birth:
3) Nationality:
4) Permanent address: