Visa application important! Please type or print using ballpoint pen

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Документы

Содержание 11. Date of entry (DD/MM/YY) 12. Date of departure (DD/MM/YY) 13. Number of entries Date of issue Valid until 15.Type of passport 18. Who will pay for your trip to and stay in Russia? 19. Marital status 20. Spouse’s full name (even if divorced or separated, please indicate maiden name if applicable) 22. Spouse’s place of birth

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11. Date of entry (DD/MM/YY) 12. Date of departure (DD/MM/YY)

13. Number of entries 1

2

multiple

14. Passport No





Issued by





Date of issue





Valid until

15.Type of passport

diplomatic

оfficial

tourist

seaman’s passport

alien’s travel document

other (please specify)

**16. Name and reference number of the tourist group

**17.Do you have а medical insurance policy valid in Russia (please specify)?

18. Who will pay for your trip to and stay in Russia?

19. Marital status мarried

single (never married)

divorced

separated

widowed

20. Spouse’s full name (even if divorced or separated, please indicate maiden name if applicable)

21.Spouse’s date of birth (dd/mm/yy)

22. Spouse’s place of birth