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Agreement

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:

1. IPEAMETAOfOBOPy 1. SUBJECT OF THE AGREENIENT


l.l.Ha niacraei q6oro AO|OBOPy CTOPOHA 1 opraut:ye 1.1.On the basis of this AGREEMENT SIDE organizes the I
npr.t6yrrt Ha HaBqaHHt CTOPOHH 2 : Hacrynnnlt cynpoBo'iloM arrival of SIDE 2 for studies with the further maintenance of his
npoul.y iioro sagqanHl ,{3 <Jlyrancsrufi 4epNaeuuii lreallqullii studying process in SE <Lugansk State Medical Univ,ersity> (later
y"i".pCtt"t, (n norarl6moMy yHIBEPCI4TET) sa o6pauuu UNIVERSIT\) on the course (specialty) chosen by SIDE 2 at the
CTOPOHOIO 2 nanpruou (cneuialrnocri) Ha yMoBax orrarl'I conditions of payment of SIDE 2 for the services of SIDE 1 throughout
CTOPOHOIO 2 nocrryr CTOPOHI4 I ynpoaonN y*oro repuiny the whole term of studying in the UNIVERSITY, specifically since
HaBqaHHt e VHIBEPCHTETI, aroirr<peruo 3-20-p ao _20 _ rlrl

2, 3OEOB'q3AHH'I CTOPIH 2. OBLIGATIONS OF THE SIDES


2.1. CTPOHA I 6epe na ce6e uacrynui go6os'q:aHHt: 2.1. SIDE 1 -zO-year
takes the following obligations:
-20--P. 2.1.1 To explain the demands ofUkrainian legislation, rules ofliving
2.1.1 Po:'qcHllru CTOPOHI 2 euvorl4 yKpaiHc6Koro 3aKoHoaaBcrBa,
npaBlrila npoxl{eauru i nepecynaHHrl no repmopii Vrtpailru' and moving around the territor.v of Ukaine to SIDE 2.
2.1.2 tlpeacrarlrrru iurepectl CTOPOHI4 2 rx n Yuieepcureri rar i e 2.1.2. To represent the interests of SIDE 2 in the TNIVERSITY, as
ycr'ofo well as in financial and law enforcing organs of Ukraine throughout
$inaucour< Ta npaBooxopoHHnx opraHax VrpaiHtl rlportroM
repioay ftoro HaBqaHluI e yHIBEPCI4TETI EpaTtI yqacrb y the whole period of studies in the ID''IIVERSITY. To take part in
oupiureriui cnipnrx nuranl i noH$lrixrie, ruo srHuxalou viN solving debatable questions and conflicts which appear between SIDE
CTOPOHOTO 2 i }'FIIBEPC},ITETOM. 2 and TINIVERSITY.
2.1.3 Cnputr:u n orpuvanni cni.Aourna Ha npaBo nepe6yeann.r n 2.1.3. To assist in acquiring the certificate for the right ofstaying on
Vrpaini i peecrpauii CTOPOHI4 2 na repuropii Vrpaiun, a raKox the territory of Ukraine and registration of SIDE 2 on the territory of
s'bHo-nnisHrrx ni: npn eui:4i 3a KopaoH y BcraHoBJIeHoMy 3aKoHoM Ukraine, and also entry and exit visas during going abroad in the law
noptaKy. stated order.
2.I.4 Harlasaru in$opnauiftny niarpuuxy CTOPOHI 2 r nepioa 2.1.4. To grant information support to SIDE 2 during the period of
HaBqaHHt i nepe6ysaHtn e Vxparui. studying and staYing in Ukraine.
2.1.5 3a 6aNaHn.flvt CTOPOHI'I 2 saiil*+osarl'I nrlary 3a HaBqaHHt B 2.1.5. According to the wish of SIDE 2, to implement payment for
)'I{IBEPCI4TETI na po:pa,rynxoeuii a6o Bar}orHl'lii paxygoK studies in the LTNIVERSITY to operating or monetary account of the
yHirepcmery. university.
2.1.6' llpu euHLxHeHHi neo6xiasocri sa6e:neqlffl4 CTOPOHI 2 2.1 .6.If necessary, to provide SIDE 2 \'vith the services of interpreter'

nocJryru flepeKraaaqa. 2,2, SIDE 2 takes the following obligations:


2,2 CTOPOHA 2 6epe na ce6e uacrynni :o6os'q:aHHq: 2.2.1. Regarding the question of enrollment for studies to submit all
2.2.1. Atrs po3rrt.flAy lrlrraH]ul npo 3apaxyBaH]ul Ha HaBqaHHt Ha.IIarH B the needed for admission documents to the UNIVERSITY
yHI B EPCI4TET yci nepea6aveHi,illu rrboro .roKyMeHrH : 2.2.2. Side 2 insures provision of only reliable information, original
2.2.2 CTOPOFLA 2 rapalrrye Ha.[aH]uI Jlliue AocroBlpH]Tx and legitimate documents. In case of revelation of forgery of the
giaolrocreil, opuriua,rrurx rerirl4N4H[x gor<ynenrir' Y pa:i
ra document SIDE 2 is bearing responsibility according to the laws of
BwrBreHlul tfanry rpir<rHrnocri aoxylrenrig 1 Hece flepcoHurnbHy Ukraine.
nianoniaa;rluicrr nepe46aueny 3aKoHoaaBcrBoM Yrpainu 2.2.3. According to the agreement with SIDE 1, to provide annual in
2.2.3. Illopivno 3a y3roaxeHHtM : CTOPOHOIO I :a6e:neuyraru time payment for studies in the IJNIVERSITY and services provided
cBoerlacHy onJlary cBofo HaBqaHHr{ s YHIBEPCHTETI, ra noc'tryr by SIDE 1 during tl'le current year of studies according ro p 3'I,32'
CTOPOHI4 1 r norovuolry HaBqarbHoMy poui ni4noeiauo no n n' 3.3 of this AGREEMENT.
3.1, 3.2, 3.3 qboro AO|OBOPV. 2.2.4 To follow the standards of the Ukainian Constitution and
2.2.4 fiorpuuryBailic.fi HopM 3aKoHo.laBcrBa, ulo.uo nepe6ysaun-n legislation, which refer to staying offoreign citizens on the teruitory of
iuo:eltHrn< rpoMa.utH ua replrropii VrpaiHn, BI'IKoHyBarIr BllMorH Ui<raine. to fulfill the demands of regulatory legal acts of Ukraine and
HopMarllBHo-npagosilx aKrig Vxpaiillt. I [paBI'lJI BuyrpllnHbofo the rules of routine life in the TINIVERSITY.
po3noptaKy YHIBEPCI4TETY. 2.2.5 To use the services provided by SIDE I during the whole period
2.2.5 flicsts nianucaHnr uboro .{oroBopy necr repuiu HaBrlaHHt of studies till the end of studies in the TINIVERSITY after signing this
Kopr{cryBarl.lct nocJlyraMu CTOPOHI4 1 ao :axiHqeHnq HaBqaHHt B agfeement.
YHIBEPCI4TETI. 2.2.6In case of one-sided refusal from the services of SIDE 1 not
2.2.6 llpn oanocropoHHiil ni.qMoni eia nociryr CTOPOHH I regarding the reasons ofrefusal, or in case oftransferring to the higher
He3aJIexHo si.q npuqflHll siar.{ogn, a6o nptl :rliHi BH3 a'rr educational establishment for continuation of studies without
npoaoBr(eHHr{ HaBqaHHJI 6e: ysro4xenu-r CTPOPOHI4 1, CTOPOHA agreement of SIDE SIDE 2 is obliged to pay 1000 USD fee to SIDE
l,
2 so6on'ffiaHa BunJrarHTIr CTOPOHI 1 nrpaQ Bltxoatqu 3 yMoB l, coming from the conditions of this agreement (the payment is
uboro KoHTpaKry y posuipi 1000 ao;rapiu CtllA (onnara wtpo6rrrucr conducted in national currency of Ukraine according to NBU course
s lrauionansHiil Banlori yKpaiHl'l 3a KypcoM HEV sa aenr saiiicHeHns for the day ofconducting the payment).
nrarexy). 2.2.7 To go to native country (other country) at own costs, or to set the
2.2.7. llpourov oaHoro vicquq nicff :aKiHqeHHt HanvaHnr a6o y status ofiurther staying in Ukraine, in case ofbeing expelled from the
pa:i eigpaxysanus : YHIBEPCHTETy efiixaru :a cniii pa.ryHor ua LINIVERSITY or during one month after graduating ln case of
Sarlr<inurlny (y iuury xpairy) a6o BlBHar{mI4 craryc cBoro negative results of interlocution for enrollment for studies in the
noAaJlrlnoro nepebynaHur n Yr<paiHi. Y pasi ue [poxo/DfieHIUI university to go back to native country at own costs in the shortest
cnig6eciau Ha Bcryn 4o yuinepclrrery Tarox y HaftKoporlxllil repiuiH tlme.
suiiaru Ha Earbrinuruny sa ceiii paxynor.

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

xoudiaenuifiHocri. llia ullM po:yuierlcr Hepo3ronolIeHHt payment);


' '
napricm S.3.'ihe SIDES have engaged themselves to keep confidentiality'
i"-Ooirt"uii, uto uicrltrr niaouocri npo napricrr HaBqaHHtr'
the
a raKott Confidentiality is non-disclosure of information which contains
nocrryr CTOPOHI4 1, repuiHu i posrnripll s4iiicneHlut orllarl'l'
data about the cost of education, cost of SIDE I services, terms
and
ilruoi in6opruauii, ma non'.xsalra s pealisauielo uroro Aororopy with
rates ofconducting the payment, and other information connected
4. OOPC-MAXOPHI YMOBI,{ realization of this Agreement.
4.1. XoaHa ir CTOPIH He Hecrh\le ei,uogi'larlHocri :a nogHe 4. FORCE-NIAJEURE CONDITIONS
a6o qacrKoee HeBHKoHaHHt 6yar-rr<oro is csoix :o6os's:aHr
no
4.1. None ofthe SIDES is responsible for full or partial non-
qrovy,fioronopy, f KrIlo raKe HeBI4KoHaHm 6yae saclilxolt o6c'rasl'1H
fulfitlment of any of its obligations according to this Agreement, if this
nenepe6opuoi culu (tfopc-uaNop),uo BI'rHnKru nlcr's yxra'{eHIUI (force-
non-fulfillment will be the consequence of irresistible force
,{ororopy n pesyllrari no.qiii HaAgBuqafiHoro xaparrepy'rxi majeure), which came into being after signing the as a
CrOpO^rre He Morra ni nepea6a'larlr, ni :ano6irm po3yMHI{MIr ,Agreement
3axoIaM14.
..*tt oi extraordinary actions' which could be neither foreseen nor
prevented by taking reasonable measures ofthe SIDE'
4.2. CTOPOHA, .nrs tnoi Bl'lKoHaHHt :o6on'sgass crano
to be
seraitno cnosicrrrb iuruy CTOPOHY npo Oopc- 4.2 SInp, fo, which fulfillment of obligations appeared
HeMo)I{JIITBI{M,
impossible, immediately informs the second SIDE about force-majeure
uaNopni o6cranuurl.
gat<inqeHH-r nepioay aii Sopc-ruaxoPgrx o6ctasuH conditions.
i.3. ni.n"
floHoBrrolorb cgoi so6os't:aHHq no tlLoMy AoroBopy' 4.3. After the end of force-majeure conditions the SIDES
CTOPOHLI
renovate their obligations according to this Agreement'
5. BI{PIIIIEHHfi CYNEPEqOK
5.i. CTOPOHI4 B)Io'IByrb yci saxoall, uro6 allpiruuru noxruei 5. SOLVING CONTROVERSIES
cnopra i pos6iNHocri lurxolt neperoeopin. 'flrruo x:roaa
ue 6yae
and
5.3 SIDES will take all measures to solve the possible arguments
aocsruyr4 To cnopll i po:6iNnocri rlriN CTOPOHAMI4 discrepancies by means of negotiations- If the agreement will not be
BlrplrxaTl4Myrbct y BoTaHOBJIeHOMy 3aKOHOAaBCTBOM YXpaint',t
gained, the urgrto.ntt and discrepancies-betrveen the SIDES will be
nopralq.
'5.; Yci noni.Eovleunr, cnpruoeaui CTOPOHAMI4 iolved in law stated order oflegislation ofUkraine
S.+ ett ttre notifications, directed by the SIDES in accordance
with this
gilnoeiaqo ao uboro ,{oroeopy, a6o y :n'rsxy : nnv, varorr 6yrtl to legal addresses
be given in written form and sent
Bl,tKoHaHt rrl4cbMoBo t aocranleni 6yal-rxult aocrynHl'IM
Agreement, must
stated in this Agreement by any means available to the SIDES'
CTOPOHAMI4 cnoco6on llo BKa3aHI{x B [li'i yroAl ]opl{'4I'IqH}D(
Notifications about change of the legal address must be provided in the
aApeczx. floeiaoN{reHgs npo :lrixy }opl'IAu'lqoi aapecll noBItHHl
shortest terms.
saifi cxtorartlcx y MaKcIrMtlJIbHo KoporKl repMIHIa
5.3. CfOpOgU :o6os'ffarl4cs rxlrru yci Heo6xi'[Hi 3a'xo,au 5.3. SIDES have engaged themselves to take all the necessary
measures for providing the confidentiality regarding the information
.&rs ga6egne.reuru non$iaenuiiiHocri BiaHocuo intfopvauii, uro
which represents commercial or ofiicial secret ofthis agreement'
uicrurrcr y uboMy aorosoPi

6. TEPNIIH AIi KOHTPAITTY


6.1. IIefi KoHTpaKT ua6yeae rMHHocrl 3
6. THE TERM OF AGREEMENT ACTION
20----p (noueury iioro nianucaHri'q) i aie
4,60 y pa3i BinpaxyBaHHr croPoHh 6.1. This agreement becomes valid since ---.-''---------.-----------'.--
vepe: 2 ruNHi nicrq Biapa'\yBaHHt aaHl4ii AoroBlp 20-- (from the moment of signing it) and is acting till
2: ytiuepctrery -
B'rpaqa€ qHHHICT6
20-- .'Or in the case of expulsion from the university this agreement
is valid during two weeks after expulsion, after this term the action
of
6.2. 3uisn a6o aonoBHeHHt ao AoroBopy aliicHl, sKrrlo BoHu is stoPPed.
this agreement
saifi*iegi ntlcbMoBo i nianucani anonra CTOPOHAMI4' 'The
6.2. changes oi supplements to this Agreement are valid only in
6.3. I-{eii ,{oronip cK,'IaaeHuE B .uBox npnMlpHlKax, ycl reKcrl4
case of being written down and signed by both SIDES' --
yKpaiHcbKolo ra auuiticmoro MoBolo, aBTeHTuqHi i ltarot oaHaKoBy
cl4jry.
6.3. This Agreement is worked out in two samples, all the texts are
po:ipranuto B oaHocropoHHboMy given in Ukrainian and English, are authentic and have the same
6.4 .{oroeip He ni,u"rrqtae
DOWer.
nop.{aKy.
-p. '6.4.
The Agreement is not liable to denouncement in unilateral order'
rcPIUI4TIHI AAPECI,I I TIIAIII,ICII CTOPIH :

CTOPOHA 1:
TOB (DIOEAII BI]{{H+)
03150, u. syn. flperclanaucma'6yt'43|2
Kuir, LEGAL ADDRESSES AND STGN,q.TUNNS OF SIDES :

Kor e.IP|IOV 44888487 SIDE 1


LLC "Gtobal Vision+"
p/p UA06305299000002620288s5165 l0
0407 l, Kiev city, Predslavyn ska, 43 /2.
n flAT KE dlpuear Eaur> (xoa eAP|IOY 14360570)' COMPANY CODE 44888487
ACCOUNT # UA0630s2990000026202885516510 at JSC
PRIVATBANK
[upenrop PRIVATBANK CODE 14360570
Eepia3e T€MyP OuePaeolru
Director

Beridze Temur Omaraevich

CTOPOHA2: SIDE 2
IyI.trts
Full name

Crpana-.--.llacnoPr fioanucl Country Passport-Signiture


AGREEMENT
the subject of personal information

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,'

Medical faculty (medicine)


Full name

Documents:
1) Document of previous education(with marks)

2) Birth certificate

3) Medical certificate

4) Invitation

5) Academic list

6) Application

7) Copy of passport (Photo page, visa page)


8) Copy of medical insurance policy

9) Personal information agreement

10) 8 photo 3.5x4.5mm

11) Application form


r2)

CONSENT TO PROCESS PERSONAL DATA

(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

Passport J\& Visa J\b

Expire Date (passport)

Date of birth Place of birth

Permanent Adressat
home country

Present Address in
Ukraine

Telephone No. Civil Status

If married, state full


name and address of
spouse

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

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