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Госнаркоконтроль

PLEASE READ CAREFULLY. TYPE OR PRINT ALL INFORMATION IN ENGLISH


Surname (Family’s name) by Latin’s letters:
Name (Given names) by Latin’s letters:
Date of birth:
Sex:
Citizenship:
Place of birth (Country, City):
Present place of living (Country, Region/City):
Place of Visa’s issue (Country, city where the Russian embassy is situated):
Possible date of arrival to Russia:
Occupation:
Place of work:
Passport:

Date of issue
Date of expire
Full address: Street
Region
zip Code
Phone №:
Your e-mail:
Official position:
Educational background: School name and address
Dates attended
Diploma obtained
For which degree do you wish to apply (please tick): Preparatory program (Russian language program)
Bachelor's degree program (B.Sc.)
Master's degree program (M.Sc.)
Specialist's diploma program (S)
Doctoral program (Ph.D. and D.Sc.)
I confirm that all the information given by me in this application form is true, correct and complete to the best of my knowledge. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial or rescission of admission: Yes







 

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