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To: Olga A.

Akhverdova
Director of Pyatigorsk Medical-
Pharmaceutical Institute – branch of
Federal State Budgetary Educational
Institution of Higher Education
“Volgograd State Medical University” of
the Ministry of Healthcare of the Russian
Federation (chairman of the acceptance
board for foreign applicants)

APPLICATION ОF AGREEMENT TO BEING ENROLLED AT PMPI

I, ____________________________________________________________________
(surname, name)
confirm my agreement to being enrolled at Pyatigorsk Medical-Pharmaceutical
Institute – branch of Federal State Budgetary Educational Institution of Higher
Education “Volgograd State Medical University” of the Ministry of Healthcare
of the Russian Federation (hereinafter referred to as - Institute) in accordance
with the following entrance conditions and admitting grounds:
for the speciality «Pharmacy» 33.05.01 (full-time form) on the
compensatory basis.

I confirm my commitment during the first year of study:

- to submit to Pyatigorsk Medical-Pharmaceutical Institute – branch of Federal


State Budgetary Educational Institution of Higher Education “Volgograd State
Medical University” of the Ministry of Healthcare of the Russian Federation
the original document certifying the appropriate level of education
required for enrollment;

- to undergo a mandatory preliminary medical examinations (surveys) at


training on specialities and directions of training within the list of specialties
and areas of training, employment training for applicants undergo a mandatory
preliminary medical examinations (surveys), in the manner prescribed in the
employment contract or service contract of the position or specialty, approved
by the decree of the Government of the Russian Federation dated 14.07.2013.
No. 697 (Meeting of the legislation of the Russian Federation, 2013, N 33, art.
4398) (hereinafter-medical examinations).

«____»_________________20 __. _____________/_______________


(Signature) (Surname, name)

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