Application form

Name

Surname

Sex

Date of Birth

Place of Birth

Your home address

Your e-mail address

Telephone/Fax

Region in the country of permanent residence

Place and address of your work or study

Occupation

How long do you study Russian?

Please, indicate your choice of accommodation

Do you smoke?

Are you a vegetarian?

Passport number

Issue and expiration date

What do you like to do in your free time?

Expected dates of your stay in Yaroslavl from... to...

City, where you get a visa

Your comments