First Name - Family Name - Gender - Address - Zip / City - Country - Phone (home/work + day/evening) - Fax - E-mail - Contact Address (in case of emergency) - Contact Person - Citizenship - Passport Number - Date of birth - Passport valid until - I choose language course - (Intensive Language Course; Standard Language Course; Individual courses). Course type - ((30 hours weekly) 3 weeks;  (20 hours weekly) 4 weeks). Accommodation - (Uni hostel (single room) -50 USD; home stay (with breakfast)- 200 USD ; I have my own accommodation). Duration (weeks) - I need a Visa - I need a Transfer -  (Airport-Uni)  (Uni-Airport) Enrollment fee -75 USD. If you plan to stay longer in Russia (e.g. for travel or business purposes) than the indicated time below, indicate the exact duration of your stay in Russia. We have to charge an additional USD 30 for the prolongation, since we must file additional documents to the Russian Ministery of Foreign Relations (MID). Visa invitation for stays longer than 3 months are more complicated and take longer. Please see our Visa-Information or ask your nearest Russian consulate. Visa from ......... to ......... Arrival  - ..............  Departure -............... Native language  - Other languages - (indicate at what level - beginner; intermediate; advanced; fluent). Level of Russian (optional) - (number of years studied, degrees, etc.) Main focus of language course (optional) - Desired subjects (optional) - Special requests for homestay (optional) - (accommodation, food, family life, etc.). Special medical requirements (optional) - Allergies, diet, medication, etc.   I have read and agreed to the general conditions that apply.       (Yes, No). Please, send this form (simply text) by e-mail: timur_1@yahoo.com