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Center For International Education MSU
Lomonosov Moscow State University
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Attention!

The form is to be filled in with Latin or Cyrillic letters only.
Please fill in all the fields in the form!
Personal details
Family name:
Given name(s):
Date of birth:    
Sex:
Country of citizenship:
or enter another:
Passport number:
Valid till:    
Place of birth (country):
Place of birth (city/town etc.):
Occupation:
(name of Company and Position for employees;
name of current school/university for students)
Mailing address of Company or School/University
(home address — only for those who is not working or studying at the moment)
Zip/postal code:
Country:
or enter another:
State/Province:
City:
Street:
Building/House:
Office/Apartment:
Phone:
Fax:
(Fax number including country and area code
is nessesary to send you official invitation)
Russian Embassy/Consulate where you wish to obtain your visa:
(state, city)
Academic background:
How long have you studied Russian?
How did you learn about our Center?
Your E-mail:
Russian language programmes I intend to pursue
(choose one of the programs)
1. Pre-University programmes:
(Russian language for academic purposes & major subjects)
Course:
Field of studies:
Please specify your future specialization:
2. Russian language programs:
Study period:
Program:
Course dates:
from    
till    
3. Teacher training and refresher programs:
Course:
Specify the preferred course dates (for brief refresher and traineeship):
from    
till    
Hostel accommodation and arrival details
Hostel:
Do you require meeting/transfer service
from airport/railway station?
If require this service, please inform us about arrival details at least one week before!
Proposed date of arrival to Moscow:    
Additional info:
(the field is not obligatory)
I declare that all the answers to this application are complete and accurate to the best of my knowledge. I have been informed on the regulations of admittance to the Center for International Education and on the tuition fee. am prepared to timely cover the expenses of studying and living in Russian Federation. I accept that contract between me and the Center for International Education will be signed on my arrival to Moscow.
Please complete this form as accurately as possible and send a copy of those pages of your passport which contain the following info: passport number, till what time it is valid, when and where issued; names and photo of the student. You can send it by e-mail to ciemsu@yandex.ru or by fax to +7 499 125 4461. It is necessary for visa support. You may also need documents confirming academic background.
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