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Personal data
Mr. Ms.
Name     Surname   
E-mail    Telephone
Fax       
 
Permanent place of residence
Country postcode    state
city
address
Date of Birth
Occupation and position
Mother tongue
Education     secondary  higher  degree
Course Details
How long have you learnt Russian?
in total   at school   at university
Your level of proficient
elementary   intermediate  advanced  proficiency
what is important for you in studying Russian?
Skills of communicating in everyday situations
grammar and fluent speech
Proper pronunciation
Reading of press
Business language
Extending of active vocabulary
Skills in taking part in discussions
Understanding TV and radio programs, films, etc.
Learning Russian slang and neologisms
Etymology of Russian words
other (mention)
What foreign languages do you speak?
Your reasons for studying Russian?
Your interests
Which subjects you are interested?
Studying Russian
Excursions through Moscow and its outskirts
Journey to St Petersburg
Journey through the towns of Russia (after finishing the course)
Meeting people and communication
History and special features of main religions of Russia
History of Russia
Russian cuisine
Russian literature, painting, poetry
Theatres, opera and ballet
The capital's night life (night clubs, bars, restaurants, casino)
Russian hunting
Fishing
Sport
Russian folk songs and dances
Musical culture in contemporary Russia
Other (mention)
Kinds of sport and leisure you prefer at your home place
Residence Arrival schedule
Type of accommodation double room  single bedroom
I'd like to book from
till
Date of arrival at Moscow
kind of transport
In food not vegetarian vegetarian
Necessity for transport yes no
Necessary data for the issue of a Russian visa
Necessity for visa support yes no
Arrival not earlier than
Departure not later than
Passport# valid till
Place of Birth
Citizenship
The city where you are going to receive visa
Place of job
(working name, phone/fax, address)
Former visits to Russia or the USSR?

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