Personal Questionnaire

Attention! Please, insert the data in text boxes in Latin alphabet. Total size of all files cannot exit 40 MB.

Level of study  
Mode of study, academic year  

Language of study
    certificate of language proficiency  
    certificate scan (pdf) PDF  

Personal details  
    first name  

Date and place of birth  
    date of birth yyyy-mm-dd  
    place of birth  

Passport or identity card  
  passport number  
          passport scan (pdf) PDF  
    country of issue  
    expiry date yyyy-mm-dd  

Permanent residence address  
    postal code, city/town    
    street, building / flat number  

Correspondence address  
    postal code, city/town    
    street, building/flat number  

Contact details  
    mobile phone  

Secondary school graduation certificate  
    certificate scan (pdf) PDF  
    certificate number  
    date of issue yyyy-mm-dd  
    year of graduation yyyy  
    name of school  

Preferred language
(other than native laguage)
    preferred language 1  
    preferred language 2  

University graduated  
    diploma scan (pdf) PDF  
    name of university  
    programme of study  
    date of graduation yyyy-mm-dd  
    diploma number, date of issue   yyyy-mm-dd  

Original documents must be provided for review at the university and additionally

- medical certificate of no impediment to the start of the studies in question
- two colour photos with dimensions of 35 x 45 mm
- insurance policy / health insurance
- valid visa
- translation of the required documents into Polish

Check the information regarding the scope of processing your personal data by WSZOP!

According to the point (a) of Article 6(1) of Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data – General Data Protection Regulation (Journal of Laws EU L 119/1 of 4 May 2016), I consent to the processing of my personal data for the purpose necessary for the presentation by WSZOP of a cultural and educational offer, including those concerning studies, courses and training.

Check the information regarding the scope of processing your personal data by WSZOP!

Enter code from the image. It consists of letters and digits. Capitalization does not matter.