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Answer three short questions. You don't need to know what the form is called.
Your answers:
Poland
Employment
Start over
1.
Which country is it for?
Bulgaria
Poland
Romania
Greece
Cyprus
Germany
Austria
France
2.
What is it about?
Employment
14
Real Estate
13
Legal
8
Business
8
Consumer
12
Money & Debt
9
Vehicles
7
Medical
3
School & Education
2
Tax & Finance
2
Not sure, show everything
3.
What do you want to do?
Cancel, end or give notice
3
Apply for something or ask an authority
6
Make an agreement
5
Not sure, show everything