Application for the official invitation for a short-term visa: Please, fill in this form, answering ALL questions, and send it back to email@example.com or fax it to +7 3822 522066 with well-readable scanned page of the passport (identification page and amendments or extension pages, if applicable). Use LATIN letters only, no signs such as: Ç Ñ Æ Ø Ü Incomplete forms can NOT be processed. Surname as in passport First and Middle names as in passport Date of birth (day/month/year) Citizenship Sex Place of birth (country, city, state/province) Place of permanent residency (country, city, state/province) The place of the Russian diplomatic mission in the country of your residence where the visa will be applied for. E.g. Russian consulate in Seattle/USA, Russian Consulate in Bonn/Germany… Place of employment/school (full Hiroshima University name) Address of employment/school with Student Plaza 1-7-1 Kagamiyama, phone and fax number Higashi-Hiroshima, Japan 739-8514 Phone:+81-82-424-6188 F a x:+81-82-424-4545 Present occupation or position Passport number Passport issued on Passport expires on Supposed date of entry Supposed date of departure Places of stay in Russia (besides N/A Tomsk) E-mail address where a scanned copy of the invitation should be mailed) Mailing address where the original (hard copy) of the invitation should be shipped.
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