Expat Story Questionnaire

Please note that the fields marked with * are required.

1. Name: *

2. Nationality: *

3. Country of residence: *

4. How long have you lived here ?

5. City/town of residence:

6. Date of birth:
-- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- January February March April May June July August September October November December ---- 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

7. Do you have a tale to tell about your life in your new country of residence? If so, then we'd love to hear it! Your story could be based on a real-life experience or be fictitious but still drawing from your experience of living abroad. *

I accept that Expatica.com holds full copyright of this completed interview.

I have read the following and agree. Expatica withholds the right to edit the text where needed to ensure that the reader conveys their message clearly, spelling and grammatical errors are omitted along with any comments which our in breach of code of conduct: Bad language, pornography and material that is libelous, whether against a company, organisation or individual.