Application Form for Russian Language Course

Personal and Contact Information

* First name
* Last name
* Sex
* Date of birth (dd.mm.yyyy)
* E-mail
* Address
* Private Phone
Fax

Programme Information

* Course type
* Course length
* Preferred start date
* Type of instruction
How long and where have you studied Russian before?
What is your purpose of studying Russian?
Accommodation
Special preferences

Visa Information

* Passport number
* Date of Issue
* Date of Expiry
* Citizenship
* Occupation and work address
* Arrival after
* Departure before
* Embassy/consulate
(Please state which Russian embassy or consulate (city & country) you are going to apply to)
* Place of birth
* Permanent place of residence

Additional Information

Diet notes
Your hobby
Other notes
How did you learn about us?