VISA APPLICATION FORM

1. Last name _ ________      First name _ _______________

2. Birth date (date/month/year)       ____________________

3. Birth place _ ___________________

4. Gender      _ ___________________

5. Nationality _ ___________________

6. Passport Number ___________    issue date _               expiry date _                .

7. Occupation/Function     _                                              .

8. Federation/Name of organisation, its address, tel. & fax Nos  __ _________________

9. E-mail _            _____________

10. Date of arrival _        _________date of departure _             __________

11. City of visa application (City in your country where a Russian Consulate/Embassy is available) _ __________________

12. Postal address to which the invitation letter is to be sent _____________________________

PLEASE ATTACH YOUR PASSPORT COPY

(THE PASSPORT MUST BE VALID FOR AT LEAST 6 MONTHS AFTER THE LAST DAY OF THE SUGGESTED STAY IN RUSSIA)