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Дата изменения: Mon Jan 21 15:46:19 2013
Дата индексирования: Sun Feb 3 03:48:58 2013
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VISA SUPPORT APPLICATION FORM

|1. Purpose of the visit |Participation in the |
| |conference |
|2. Duration of the visit to Russia | |
|3. Date of entry to Russia | |
|4. Date of exit from Russia | |
|5. Number of entries |1 |
|6. Type of visa |Scientific research |
|7. Cities in Russia to be visited |Moscow |
|8. Contact phone | |
|9. Contact fax | |
|10. Contact e-mail | |
|11. Family name/ Surname | |
|12. First name | |
|13. Date of birth | |
|14. Gender | |
|15. Citizenship | |
|(If you are also a citizen of Russia, | |
|please indicate) | |
|16. Country of birth | |
|17. Place of birth | |
|18. Country of permanent residence | |
|19. Place/ region of permanent residence | |
|20. Russian consulate you intend to apply | |
|for your visa (country and city) | |
|21. Place of employment (complete name of | |
|the organization) | |
|22. Complete mailing address of the | |
|employer | |
|23. Position | |
|24. Passport series | |
|25. Passport number | |
|26. Date of issuing | |
|27. Date of expiration | |
|28. Complete personal mailing address (with| |
|the zip code) | |
|29. Contact fax number and e-mail | |