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  • PSU. Application Form

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    Gino Perales
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    Gino Perales Guerra, a single Peruvian citizen born on February 10, 1999 in Peru, is applying for admission as an international student. He currently resides in the Ucayali region of Peru at km 5.8 of the federico basadre highway in Pucallpa. No additional details are provided regarding his university, passport, or intended program of study in Russia.

    Original Description:

    Aplicacion para USP

    Original Title

    PSU.-Application-Form

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    Gino Perales Guerra, a single Peruvian citizen born on February 10, 1999 in Peru, is applying for admission as an international student. He currently resides in the Ucayali region of Peru at km 5.8 of the federico basadre highway in Pucallpa. No additional details are provided regarding his university, passport, or intended program of study in Russia.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views2 pages

    PSU. Application Form

    Uploaded by

    Gino Perales
    Gino Perales Guerra, a single Peruvian citizen born on February 10, 1999 in Peru, is applying for admission as an international student. He currently resides in the Ucayali region of Peru at km 5.8 of the federico basadre highway in Pucallpa. No additional details are provided regarding his university, passport, or intended program of study in Russia.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    APPLICATION FORM FOR

    INTERNATIONAL STUDENTS.

    1 Supposed date of entry

    2 Surname
    Perales Guerra

    3 Name Gino

    4 Patronymic (middle name)


    Harold

    5 Date of birth
    02-10-1999

    6 Sex
    Masculine

    7 Citizenship
    Peruvian

    8 Country of birth
    Peru

    9 Place of birth (country and city)


    Peru-Atalaya

    10 Marital status
    Single

    11 Country of permanent residence


    Peru

    12 Region of permanent residence,


    full home address Region Ucayali, km 5.8 federico basadre highway, city of
    Pucallpa

    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

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