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Russian Visa Form

This document is a visa application form requesting important information from applicants, such as nationality, passport details, purpose and dates of visit, health insurance coverage, and contact information. Applicants must declare that all information provided is true and accurate, and agree to leave Russia upon expiration of any visa granted. Possession of a visa alone does not guarantee entry into Russia.

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399 views

Russian Visa Form

This document is a visa application form requesting important information from applicants, such as nationality, passport details, purpose and dates of visit, health insurance coverage, and contact information. Applicants must declare that all information provided is true and accurate, and agree to leave Russia upon expiration of any visa granted. Possession of a visa alone does not guarantee entry into Russia.

Uploaded by

Sovereign Track
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VISA APPLICATION

IMPORTANT! Please print or write in block letters using ball-point pen


I declare that all data given in this form is complete and true. I am aware that any false statements will lead to my application being rejected or
to the annulment of a visa already granted and may also render me liable to prosecution under Russian law. I undertake to leave the territory
of Russia upon the expiry of the visa If granted. I understand that possession of a visa does not entitle its bearer to enter Russia. I will not
seek compensation if I am refused to enter Russia.
1. Nationality (If you had USSR or Russian nationality at some time please indicate when you lost it)

7. Purpose of visit

8. Category and type of visa


2. Surname (as in passport)

9. Number of entries
Single entry

3. First name, other names, patronymic names (as in passport)

Double entry

10. Date of entry into Russia

Multiple entry

11. Date of exit from Russia

(dd/mm/yy)
4. Date of birth
(dd/mm/yy)

5. Sex

6. Passport No

(dd/mm/yy)

12. How many times have you been to Russia?


Date of last trip to Russia (dd/mm/yy)

Date of issue
Expires on
from
till
(dd/mm/yy)
(dd/mm/yy)
13. Name of host organisation you intend to visit? (for tourists name and reference number of host travel company, for business visas name of host organisation and destination city,
for private visas - full name and address of host)

14. Route of journey (points of destination)

15. Do you have health insurance that is valid in Russia?


yes

no

Provide details?

16. Children under 16 years and other relatives written in your passport and travelling with you:

no

yes

Surname, first name, date of birth (dd/mm/yy), your home address

17. Other names used in the past (maiden, religious, etc.)


18. Your permanent address, telephone, fax, email

Glue your photograph


19. Your place of birth (if you were born in Russia, specify when and which country you have immigrated to)

20. Present occupation, position (name of employer, address, tel, fax, email)
I hereby agree that my personal data will be
processed and communicated electronically for
approval of my visa application.

Date (dd/mm/yy), signature

21. Do you currently have relatives in Russia?


(Please indicate their full names, relation degree, dates of birth, address)

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