Professional Documents
Culture Documents
AOfOBIP
npo HaaaHHt nocJryf N9 About service rendering Ne-
Rivne
'' ': of . z\z-
M. PiBHE < > 202_p.
TOB (fJIOEAll BI)I(H+) rani 3AMOBHI4K s oco6i gnpelcopa Eepia:e
LLC "Global Vision+" hereinafter retened to as Applicant represented by
the director Beridze Temur Omaraevich authorized by the Statute referred
to
Tevyp Ouepaetn aioqoro ua ni.acraai Crary-'ry' iueHoBaHhil B
as SIDE 1, and citizen
noAarbIIIoMy CTOPOHA 1, i rpoltagauun
(rpaiu4 ilr'r, npi:nuure, ceplfl ra HoMep racflopryJ__ (country, name, sumame, passport series and number)
iMeHosalrlda Hararli CTOPOHA 2,naaarri inenoeaHi CTOPOHI4'
Later referr;d to as SIDE 2, later refened to as SIDES, have
yruanu ueii aofoBlp npo HIDKqeHaBe.4eHe: drafted this agreement about the following:
3, IIOPflAOK PO3PAXYHKIB
3.1. Bapricrl nocnyr CTOPOHI4 i, stti Hanalorbcq
3. THE ORDER OF PAYN{ENTS
CTOPOHI 2 :a nepio4 neptuoro poKy HaBqaHHc, cKnaaae cyMy,
4oraPin CillA 3.1. The cost of services of SIDE l, granted to SIDE 2 lor the
HBY sa aeur 3altrcHeHHt period of first Year of studies, makes the sum
(onrara aaiiicr*oerbcs B fpl'IBHax 3a KypcoM
USD (the Payment
nlareNy): ing to NBU course
3.i. nrcry 3a HaaaHlul nociryr CTOPOHOIO I 3a neploa for the day ofconducting the payment)'
tton<Hofo poKy HaBqaHIUI cryaenr :o6on'r3aHu[ BI'In'laqyBarlr
uopoKy
3.2.\ne payment for services provided by SIDE 1-for the period
rlportroM ncroro nepioay HaBqaHHf, nepea norlarKoM KoxHofo
HaBr*lJrLHofo poKy, Y Po3MiPi of.u.w year oi education must be paid during the whole period of
LOnaDlB ,tuOt.t'U"fo.. the beginning of each year of studies, at the rate of
rplIBHZX 3a
USD for
cunencY of
xypcolr HEY na aenr saiii*reHHt nJlarexy);
3.3. CTOPOHII go6oe'sga'lucs 'uorpnMyBarucs Utruin. according io NBU course for the day of conducting the
CTOPOHA 1:
TOB (DIOEAII BI]{{H+)
03150, u. syn. flperclanaucma'6yt'43|2
Kuir, LEGAL ADDRESSES AND STGN,q.TUNNS OF SIDES :
CTOPOHA2: SIDE 2
IyI.trts
Full name
I, citizen of passport
Full name
I provide LLC "Global Vision+" to process and use a copy of the education document (s) and my
personal information:
- passport details: full name, date of birth, series, number, date of issuance of the passport
document, citizenship; temporary residence permit and permanent residence permit;
- residence permit;
- Gender
By signing this Agreement, I release the LLC "Global Vision*" from the obligation to separately
notifu me about the transfer of my personal data to third parties and I do not mind that "Global
Visionr" disposes of my personal data.
Date Signature
citizen
passport I'm not making out any case to LLC
"Global Visioni" and any of its representatives.
Date Signature
The Ministry of Healthcare of Ukraine
SE "Lugansk State Medical University'o
16-ho Lypnya 36, Rivne, 33028, Ukraine
Receipt J\b_
About the adoption of the documents in SE "Lugansk State Medical University,'
Documents:
1) Document of previous education(with marks)
2) Birth certificate
3) Medical certificate
4) Invitation
5) Academic list
6) Application
(Full name),
I. citizen of Passport J\b
give my personal information to SE "Lugansk State Medical University,' and
express my concept for storage, usage and processing all my Personal Data
by SE
"Lugansk State Medical University". I also give consent to the transfer all mv
Personal Data to a third party.
Date Signature
The Ministry of Healthcare of Ukraine
SE "Lugansk State Medical University"
16-ho Lypnya 36, Rivne, 33028, Ukraine
Application form
Full name
Nationality Sex
Permanent Adressat
home country
Present Address in
Ukraine
Parrents telephone No
and e-mail adress
Awards, Hobbies
Other information
I hereby veri$'that all information provided above is correct and accurate to the
best of my knowledge.
Date Sisnature