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Application form for Russian Language Courses

APPLICATION FORM


To receive an invitation letter for Russian visa, you need:
  1. to send us via e-mail inbox@pushkin.institute pages of your passport
    with photo, personal information, date of issue, and expiry date (including prolongation stamp).
  2. to fill in the application form below.

Please note that the application deadline is 2 months prior to the starting date of the course chosen by you.

The Institute will contact you by email within 10 days of getting your application form. If you didn't receive any answer from the Institute within 10 days, please send an email with your first and last name, country, and the date of filling out the application to VMKosteva@pushkin.institute.
Family Name (in Russian letters):
First Name (in Russian letters):
Family Name (as in the passport):
Name (as in the passport):
Sex:
Date of birth (day/month/year):
Country of birth:
City of birth:
Citizenship:
Passport number:
Date of issue (day/month/year):
Expiry date (with prolongation, day/month/year):
Home address with post/ZIP code:
Contact phone:
Place of study/work:
Address of study/work with post/ZIP code:
Course/position:
Business phone:
Consulate to apply for visa (city):
You want to take:
Russian language practice course
Bachelor program
Master program
Post-graduate program
Professional improvement
How long and where have you studied Russian?
Rate your level of proficiency:
Novice
Basic
Intermediate
Advanced
Course starts (day/month/year):
Course ends (day/month/year):
Type of accommodation:
not required
regular shared room with facilities (2/3 persons)
Personal requests:
I give to the Pushkin State Russian Language Institute my permission for the transfer, processing, storage, depersonalization, removal of personal data specified in the application form for visa support, entrance tests and possible training for a period necessary for the implementation of all related actions and responsibilities. I know that consent can be withdrawn through a written application.

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