Санкт-Петербургский государственный университет

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l'Institut
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Saint-Pétersbourg
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Formulaire
- Russian via Skype

Russian via Skype

Formulaire

Your name : *

Surname : *

Date of birth : *

Country of birth : *

City of birth :

Sex : *

Male

Female

Address :

Zip code :

City : *

Country : *

Occupation (student, engineer, manager etc.) : *

Phone : *

Fax :

E-mail : *

Passport number : *

Date of passport expiry : *

Copy (scan) of your passport :

Please scan the page of your passport with your photo. File size limit is 2 MB. PLEASE! Don't use photo camera. Use scanner.

Additional pages of your passport (if passport has been extended) :

Needed only if your passport has been extended (For citizens of Turkey, Switzerland and other)

Additional pages of your passport (if passport has been extended) :

Needed only if your passport has been extended (For citizens of Turkey, Switzerland and other)

Entry date :

Approximate

Citizenship : *

I will apply for (and pick up) my visa at the Russian Consulate in (country and city) : *

Period of stay in Russia (from to) : *

Do you need a pick up service from the airport : *

yes

no

Please, note that transfer to the airport from dormitory or host family should be paid upon your arrival.

Choice of course :

Level : *

Beginner: Never studied before

Beginner: I can read short simple texts, but can’t speak

Beginner: I can keep conversation on general topics

Intermediate

Advanced

Accommodation : *

Dormitory (place in a room)

Host family (with breakfast and supper)

Not needed

Your message :

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Of. 307, 11/2 nab. Leitenanta Shmidta, 199034, St.Petersburg, Russia. Phone: +7 812 3277955, fax: +7 812 3277988, [email protected] Copyright © 2010 RLCI