Proposed Degree program: Bachelor’s Master’s Ph.
D/PG
Speciality / Field of study:
Chosen University:
1st alternative:
2nd alternative:
(You can leave empty and we can propose you the right university)
Want to study in medium of instruction: English Russian
(if required field is not available in English then admission will be made in the Russian language)
Full Name:
Surname Name: Middle name:
Gender: male female Marital Status:
Date of Birth: Place of Birth: Nationality:
(Country, city)
National passport No.: Date of Issue: Date of Expire:
Permanent Address:
(Country, city/town, street, house No)
Contact Number: Contact E-mail:
(Country, city)
SCHOOL
School name: School address:
Attended Since till Received Certificate:
COLLEGE / UNIVERSITY
College / University (if Attended) name:
College / University address:
Attended Since till
Received Certificate:
Have you ever studied in Russia? Yes If «Yes» (specify the year, course and
university name)
Have you ever studied Russian languages? Yes If «Yes» when and where
1. Copy of passport 2. Copies of educational certificates
I confirm that the information given in the form is correct.
DATE APPLICANT’S SIGNATURE