Personal data
Mr.
Ms.
Name
Surname
E-mail
Telephone
Fax
Permanent place of residence
Country
Russia
Azerbaijan
Armenia
Belarus
Georgia
Kazakhstan
Kyrgyzstan
Latvia
Litva
Moldova
Tajikistan
Turkmenistan
Uzbekistan
Ukraine
Estonia
Australia
Austria
Albania
Algeria
Angola
UAE
Argentina
Aruba
Afghanistan
Bahamas
Bangladesh
Barbados
Belgium
Benin
Bermuda
Bulgaria
Bolivia
Bosnia and Herzegowina
Brazil
Brunei Darussalam
United Kingdom
Vengria
Venezuela
Viet Nam
Haiti
Gambia
Honduras
Guadeloupe
Guatemala
Guinea
Germany
Gibraltar
Holland
Hong Kong
Grenada
Greenland
Greece
Guyana
Denmark
Dominican Republic
Egypt
Zaire
Zambia
Zimbabwe
Israel
India
Indonesia
Jordan
Iraq
Iran
Ireland
Iceland
Spain
Italy
Yemen
Cayman Islands
Cameroon
Canada
Kenya
Cyprus
China
Colombia
Cambodia
Congo
Korea
Costa Rica
Cuba
Kuwait
Liberia
Liechtenstein
Luxembourg
Mauritania
Madagascar
Macedonia
Malaysia
Mali
Malta
Mexico
Mozambique
Macau
Mongolia
Morocco
Namibia
Nepal
Nigeria
Netherlands
Nicaragua
New Zealand
Norway
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Poland
Portugal
Puerto Rico
Romania
Saudi Arabia
Senegal
Singapore
Syrian
Slovakia
Slovenia
Somalia
Sudan
USA
Taiwan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Uganda
Uruguay
Philippines
Finland
France
Chad
Czech Republic
Chile
Switzerland
Sweden
Sri Lanka
Ecuador
Ethiopia
South Africa
Yugoslavia
Jamaica
Japan
postcode
state
city
address
Date of Birth
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Occupation and position
Mother tongue
Education
secondary
higher
degree
Course Details
How long have you learnt Russian?
0
1
2
3
4
5
6
7
8
9
10
11
12
in total
0
1
2
3
4
5
6
7
8
9
10
11
12
at school
0
1
2
3
4
5
6
at university
Your level of proficient
elementary
intermediate
advanced
proficiency
what is important for you in studying Russian?
Skills of communicating in everyday situations
- - - - - - -
very important
important
it depends
not important
grammar and fluent speech
- - - - - - -
very important
important
it depends
not important
Proper pronunciation
- - - - - - -
very important
important
it depends
not important
Reading of press
- - - - - - -
very important
important
it depends
not important
Business language
- - - - - - -
very important
important
it depends
not important
Extending of active vocabulary
- - - - - - -
very important
important
it depends
not important
Skills in taking part in discussions
- - - - - - -
very important
important
it depends
not important
Understanding TV and radio programs, films, etc.
- - - - - - -
very important
important
it depends
not important
Learning Russian slang and neologisms
- - - - - - -
very important
important
it depends
not important
Etymology of Russian words
- - - - - - -
very important
important
it depends
not important
other (mention)
What foreign languages do you speak?
Your reasons for studying Russian?
Your interests
Which subjects you are interested?
Studying Russian
- - - - - - -
very interested
interested
it depends
not interested
Excursions through Moscow and its outskirts
- - - - - - -
very interested
interested
it depends
not interested
Journey to St Petersburg
- - - - - - -
very interested
interested
it depends
not interested
Journey through the towns of Russia (after finishing the course)
- - - - - - -
very interested
interested
it depends
not interested
Meeting people and communication
- - - - - - -
very interested
interested
it depends
not interested
History and special features of main religions of Russia
- - - - - - -
very interested
interested
it depends
not interested
History of Russia
- - - - - - -
very interested
interested
it depends
not interested
Russian cuisine
- - - - - - -
very interested
interested
it depends
not interested
Russian literature, painting, poetry
- - - - - - -
very interested
interested
it depends
not interested
Theatres, opera and ballet
- - - - - - -
very interested
interested
it depends
not interested
The capital's night life (night clubs, bars, restaurants, casino)
- - - - - - -
very interested
interested
it depends
not interested
Russian hunting
- - - - - - -
very interested
interested
it depends
not interested
Fishing
- - - - - - -
very interested
interested
it depends
not interested
Sport
- - - - - - -
very interested
interested
it depends
not interested
Russian folk songs and dances
- - - - - - -
very interested
interested
it depends
not interested
Musical culture in contemporary Russia
- - - - - - -
very interested
interested
it depends
not interested
Other (mention)
Kinds of sport and leisure you prefer at your home place
aerobics
tennis
bicycle
windsurfing
volley-ball
golf
mountain ski
riding
table tennis
swiming
football
other
Residence
Arrival schedule
Type of accommodation
double room
single bedroom
I'd like to book from
2004
2003
2002
2001
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
till
2004
2003
2002
2001
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date of arrival at Moscow
2004
2003
2002
2001
1999
1998
1997
1996
1995
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
kind of transport
avia
train
other
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
2001
2002
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Departure not later than
2001
2002
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Passport#
valid till
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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?
How have you known about "Russian Village"?
Internet
Russian Culture Center (set in your country)
Advert in the media (mention)
-The Moscow Times
-Capital Perspective
-Business Review
-Moscow Telephone Business Guide
Friends' recommendation
Tour agency (mention)
Other (mention)
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