Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.msu.ru/en/admissions/Form-eng.doc Дата изменения: Mon Jun 23 12:51:26 2008 Дата индексирования: Tue Oct 2 02:46:31 2012 Кодировка:

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Lomonosov

Moscow State University

International Students Office

Mailing address: office 812A, Main Building, MSU, Leninskie Gory, 119992,

GSP-2,Moscow, Russia.

Tel: (7-095)-939-3510; Fax: (7-095)
939-5763
e-mail: admission@rector.msu.ru


APPLICATION FORM

Please, type or print
clearly:

Last
name________________________________________________________________________
____________

First name_______________________________ Middle
name_________________________________________

|Date of birth:"___"_____________ | Sex: | | female| |
|19___ |male | | | |

Mailing address: _______________ zip
code_________________________________________________country

_______________________________________city_________________________________
____________street

______________________________________building
#_____________________________________apartment #

Phone:_______________________Fax:_______________________e-
mail:_______________________________

Permanent address: _____________ zip
code_________________________________________________country

________________________________________city________________________________
____________street

______________________________________building
#_____________________________________apartment #

Phone:____________________Fax:_____________________e-
mail:____________________________________

Name and address of Company (for employees)/Name of current
school/university (for students):

______________________________________________________________________
_____________


Position:
______________________________________________________________________
_____


Phone:_____________________________________Fax:_______________________
______________


Summary of academic background



|Dates of |University (High school) |Degree (Diploma) |
|attendance | |obtained |
| | | |
| | | |
| | | |
| | | |


I intend to study towards degree:

| | | | | | | | |
|BA/BSc| |MA/MSc | |PhD | |Specialist| |


I am going to pass the course: Visiting scholar
Summer programme
My intended specialty (major):
__________________________________________________________________

Russian Language Proficiency:


Advanced Upper Intermediate Intermediate Lower
Intermediate Elementary Beginner
I am ready to pass Russian language test and all required specialty tests
in Russian
Russian language programmes I intend to pursue (if any):
1. Pre-University programme (Russian language for academic purposes + major
subjects):
Preparation for Undergraduate studies
Preparation for Postgraduate studies
in Humanities in Economics in Science
in Medicine in Engineering
2. Russian language courses: During academic year
Summer courses
Full-time Part-time

Courses dates: from _____(day)____________(month)_____(year) to
____(day)___________(month)______(year)


Information for visa support


Citizenship __________________________________________(if more than one,
please indicate them using comas)

Place of birth
____________________________(country)_______________________________________
____(city)

Permanently I live in
________________________________(country)______________________________(regi
on)

Passport number _____________________________Date of issue:
_____(day)______________(month)_____(year)


Valid until: ______(day)______________(month)_____(year)

Russian Embassy/Consulate where you wish to obtain your visa:
__________________________________(country)

_________________________________(city) Please indicate only countries and
cities that have Russian Consulates

Proposed date of arrival to Moscow:
_________(day)____________________(month)_________(year)

Please, send the invitation letter to the named above mailing address.

Additional inflormation:
_______________________________________________________________________
____________________________________________________________________________
________________

I declare that all the answers to this application are complete and
accurate to the best of my knowledge including the information on my
academic background. I have been informed on the regulations of admittance
to the University and on the tuition fee. I am prepared to timely cover the
expenses of studying and living in Russian Federation. I am warned that
failure to report all the complete and accurate information will invalidate
my application and my result in invalidity of a degree obtained if
admitted.



Date: ____ (day)_________________(month)__________(year) Signature
________________________________

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