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Library details

Library

Biblioteka Fundacji im. Janusza Kurtyki

Library department

Lending department

Personal details

Forename(s)

Surname

Date of birth

Place of birth

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D.O.

ID number

Names of parents

Name of employer

E-mail

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Post office

City

Temporary address

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Flat / House Number

ZIP / Post Code

Post office

City

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I hereby agree to my personal data which are enclosed in this questionnaire being processed by Biblioteka Fundacji im. Janusza Kurtyki pursuant to the Act on Protection of Personal Data of 29 August 1997 (Journal of Laws [Dz.U] No. 101, item 926 with later amendments). (required)

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