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VISA APPLICATION FORM
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Visa Application Form for Russia.
Please print out this form, fill it out and send it to us fax or cut and past it into your e-mail, fill it out and send it to us.
VISA APPLICATION FORM.
1. Surname
(in Latin letters) /........................................................................./
(in Russian, if known) /..................................................................................../
2. First names
(in Latin letters) /....................................................................../
(in Russian, if known) /...................................................................................../
3. Sex
/.........................................................................................................../
4. Citizenship
/.............................................................................................../
5. Passport number
/....................................................................................../
validity /............................................................................................................/
6. Date of birth
date /..................../ month /..................../ year /.................../
7. Visa type (cross the box)
MULTI-ENTRY: for 1 year /........./ for 6 months /........./ for 3 months /........./
DOUBLE-ENTRY: for 1 month /........./ for 3 months /........./
SINGLE - ENTRY: tourist /........./ business /........./
8. Date of entry to Russia /............................................................................/
date of departure from Russia /....................................................................../
9. Russian cities for visit for the long stay
/......................................................................................................................../
10. Names of hotels or addresses where your are going to stay in Russia
/......................................................................................................................../
11. Russian consulate where are you going to apply for visa?
Country /.............................................../ City /.............................................../
12. Who you would like to be informed about telex:
Name /............................../
Telephone /........................./ E-mail /........................./
13. Moscow address
/......................................................................................................................../
14. Payment: cash /................................/ bank transfer /................................/
15. Company information:
Company name /............................................./
Position /............................................./
Office address (outside of Russia) /............................................./
Type of business /............................................./
Telephone /..................../ Fax /..................../
16. Please, write which source you received our name/telephone from:
/............................../
Signature. Stamp.
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