APPLICATION FORM FOR

INTERNATIONAL STUDENTS.

1 Supposed date of entry

2 Surname

3 Name

4 Patronymic (middle name)

5 Date of birth

6 Sex

7 Citizenship

8 Country of birth

9 Place of birth (country and city)

10 Marital status

11 Country of permanent residence

12 Region of permanent residence,

full home address

13 Place of issuing visa (country and city with

Russian Consulate or Russian Embassy)

14 Full name of your University (College)

15 Full address of your University (College)

16 Passport number

17 Passport issue date

18 Passport expiry date

19 Purpose of visit:
1. Main educational program (Bachelor,
Master of PhD.);
2. Academic mobility program;
3. Russian language courses;
4. Lecturing or teaching;
 5. Research or conference.
20 Your e-mail address

21 Contact telephone number

22 Cities to be visited in Russian Federation

(route to Perm)

23 Planned accommodation in Perm