Enrollment Form

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Kaliningrad

Referencje

Język Rosyjski

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Formularz Rejestrowania

Enrollment Form

Fields marked with * are required
PERSONAL DATA
First Name*
Last Name*
Sex*	Male Female
E-mail*
Address (including Postal Code)*
City*
Country*
Phone*
Fax

COURSE INFORMATION
Course type*
Course duration*	(in weeks)
Start date*	dd/mm/yy
Language level*
Accommodation*	without meals 1 meal/day 2 meals/day (tick this only if you choose to live in a host family)
Special preferences	Please specify your requirements to a host family here (e.g. smoking/non-smoking, with/without babies and children, pets, etc.:

VISA INFORMATION
Date of birth*	dd/mm/yy
Citizenship*
Passport number*
Occupation*
Work address*
Arrival before *	dd/mm/yy
Departure after*	dd/mm/yy

Important note: We will need the copy of the main page of your passport. Please, scan it and send it as PDF-file or JPG-file to Ten adres e-mail jest ukrywany przed spamerami, włącz obsługę JavaScript w przeglądarce, by go zobaczyć

Embassy/consulate

Please, indicate the city, where you are going to apply for Russian visa. The list of consulates.

Country of birth
County/region/state
Permanent place of residence
County/region/state

ADDITIONAL INFORMATION
Hobby
Diet notes
Allergies
Native language
Other languages
Other information

HOW DID YOU LEARN ABOUT US?
Via
Detailed	Please indicate the web site/search engine address as well as the key words you used to find us:

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