MAPPING OF THE POPULATION AT RISK OF STATELESSNESS IN ALBANIA QUESTIONNAIRE76 Questionnaire Goals : • To establish the number of unregistered and stateless individuals in the territory of the Republic of Albania • To discover the causes behind non-registration and statelessness • To delineate the ways for solving the problem • To assist and complete the civil registrations and the registrations of nationality Directed to the Municipalities and the Administrative Units. Please identify yourself by circling one of the following alternatives: a. Regional Department of Public Social Service b. Civil Registry Office c. Children Protection Unit d. Regional Education Directory e. Health Center f. NGO: ___________________________________ g. Other (Specify): ___________________________________ 1. Are you aware of any case of stateless or unregistered children or individuals in the civil registry? Yes No If you answered “Yes,” please fill in below:77 a. First Name, Last Name of the children/individual: b. or a parent: c. or a relative: 76 A single questionnaire will provide information for only one person. 77 Personal data collected by this form are confidential, and Tirana Legal Aid Society (TLAS) is responsible for their use and protection. UNHCR - TLAS / May 2018 75