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- Imię i Nazwisko Klienta / Name and Surname of Client
- Data urodzenia / Date of birth
- Sprawę prowadzi / Handled by
- Data startu / Start date
- Usługa / Service
- Data złożenia wniosku / Date of submitting the application
- Sprawa nr / Case number
- PIO
- Inspektor / Inspector
- Forma złożenia / Compound form
- Wniosek o / Application for
- Urząd / Migration office
- Przekazanie / Transfer Skąd / FromDokąd / To
- Status / Status
- Komentarz / Notices
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- Numer telefonu / Phone number
- Email