Ministry of Science and Higher Education of the Russian Russia, 392000, Tambov, Sovetskaya Str.

, 106,
Federation Federal State Budgetary Educational Institution TSTU
of Higher Education Tel.: (4752) 632024 Fax: (4752) 632024
«TAMBOV STATE TECHNICAL UNIVERSITY» E-mail: tstu04@yahoo.com, fmo@mail.tstu.ru
Faculty of International Education http: www.tstu.ru
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Apppplliiccaattiioonn FFoorrm
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Given Name
Surname
Sex  Male  Female
Date of Birth (dd/mm/yy)

Country of Birth State/Region of Birth

City of Bitrh Permanent Citizenship

Permanent Country City

Home
Address Street/ Block #
Tel/fax E-mail

Place of work/study (present or last) Job Title

Work/Study Country City

Place
Address Street/ Block #
Tel/fax E-mail

Please indicate the place where you will

Country City
get your visa

Education Degree (please, attach the

copy of your educational certificate)

 1 year Pre-university Russian Language Program (from autumn session)

 technical  economical  medical

 1.5 year Pre-university Russian Language Program (from spring session)

 technical  economical  medical

 Intensive Russian Language Course

 Biology/Chemistry course in English (3-4 months, spring session)

Please indicate the level of  Biology/Chemistry course in English + Intensive Russian Language course (3-4
study which interests you months, spring session)
most
 Bachelor’s degree program  Master’s degree program (in Russian)

 Master’s degree program (in English)

Construction / Theory and Design of Buildings and Structures
Management / Financial Management
Information systems and technologies / Analysis and Synthesis of Information
Systems

 Postgraduate degree (Ph.D. program)  Postgraduate degree (Doctoral program)

Please indicate the program you

are applying (code and full name)

Please indicate where you first

learned about Tambov State
Technical University

Applicant’s Signature
(please attach the scanned copy of Date
your international passport)