Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.bio.msu.ru/res/DOC85/cebs.application.2010.doc Дата изменения: Wed Apr 28 18:37:38 2010 Дата индексирования: Mon Oct 1 19:37:25 2012 Кодировка:

| |Lomonosov Moscow State University |
|[pic] |Faculty of Biology |
|Coastal Ecology and Biological Safety |
|Summer School (June, 2010) |
|Application |


1. Personal Data

|1.|Name | |
|1 | | |
|1.|First Name | |
|2 | | |
|1.|Other Names | |
|3 | | |
|1.|Date of Birth | | |1.5|Sex | |
|4 |(d/m/y) | | | | | |
|1.|Place of Birth | | |1.7|Citizenship | |
|6 | | | | | | |
|1.|Passport | |
|8 | | |
|1.|Passport issued | | |1.1|valid till | |
|9 |(d/m/y) | | |0 | | |


2. Address

|2.|Country | | |2.|PO Box / Code | |
|1 | | | |2 | | |
|2.|City | |
|3 | | |
|2.|Street, No | |
|4 | | |
|2.|Telephone | | |2.|e-mail | |
|5 | | | |6 | | |


3. Emergency Contact

|3.|Name | |
|1 | | |
|3.|Telephone | | |3.|e-mail | |
|2 | | | |3 | | |
|3.|Other Details | |
|4 | | |


4. Current occupation

|4.|Institution | |
|1 | | |
|4.|Faculty | |
|2 | | |
|4.|Year / Program | |
|3 | | |


Russian Consulate to be applied to for visa[1]

|10.|City, state | |
|1 | | |

The visa invitation supposes your stay in Moscow and a region adjacent to
WSBS ONLY. Please co-ordinate with us your supposed visits to other places
in Russian Federation ahead.


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[1] Cannot be changed after application