Application form for Russian Language Courses

APPLICATION FORM FOR RUSSIAN LANGUAGE COURSES

Attention! The number of vacant places in the Institute's dormitory is limited, therefore it is recommended to book alternative accommodation option. Information about vacant places in the dormitory will be available a few days before the classes start.

To receive an invitation letter for Russian visa, you need:

to send us via e-mail study@pushkin.institute pages of your passport
with photo, personal information, date of issue, and expiry date (including prolongation stamp).
to fill in the application form below.

Please note that the application deadline is 2 months prior to the starting date of the course chosen by you.

The Institute will contact you by email within 10 days of getting your application form. If you didn't receive any answer from the Institute within 10 days, please send an email with your first and last name, country, and the date of filling out the application to GNKuptsova@pushkin.institute.

Family Name (in Russian letters - if you have got Russian visa):

First Name (in Russian letters - if you have got Russian visa):

Family Name (as in the passport):

Name (as in the passport):

Sex:

Date of birth (day/month/year):

Country of birth:

City of birth:

Citizenship:

Passport number:

Date of issue (day/month/year):

Expiry date (with prolongation, day/month/year):

Home address with post/ZIP code:

Contact phone:

E-mail (please note: the Institute will contact you using this email address):

Place of study/work:

Address of study/work with post/ZIP code:

Occupation:

Consulate to apply for visa (city):

Have you ever studied Russian language?

	Yes
	No

Your study at the Pushkin Institute starts (day/month/year):

Your study ends (day/month/year):

Type of accommodation:

	not required
	regular shared room with facilities (2/3 persons) in the Institute's dormitory

Personal requests:

ДА/YES

Даю ФГБОУ ВО "Гос. ИРЯ им. А.С. Пушкина" разрешение на передачу, обработку, хранение, обезличивание, удаление указанных в анкете персональных данных для осуществления визовой поддержки, вступительных испытаний и возможного обучения на срок, необходимый для осуществления всех связанных с этим действий и обязанностей. Мне известно, что согласие может быть отозвано посредством письменного заявления.

I give to the Pushkin State Russian Language Institute my permission for the transfer, processing, storage, depersonalization, removal of personal data specified in the application form for visa support, entrance tests and possible training for a period necessary for the implementation of all related actions and responsibilities. I know that consent may be withdrawn through a written application.

Please note that your application will be successfully sent only after you give your permission by clicking ДА/YES.