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Russian Visa Application Form -
Online Visa/Passport Services -
Los Angeles, CA |
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RusOnline.com
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RUSSIAN VISA APPLICATION FORM: |
To Print or Download:
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Consulate
General of the Russian Federation in San Francisco - Russian Embassy
San Francisco
VISA APPLICATION -
Russian/Russia Visa Application
IMPORTANT!
Please type or print using ballpoint pen |
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I declare that to the best of my knowledge
all particulars supplied by me are correct and complete. I am aware
that any false statements will lead to my application being rejected
or to the annulment of a visa already granted and may also render me
liable to prosecution under the legislation of the Russian Federation.
I undertake to leave the territory of the Russian Federation upon the
expiry of the visa, if granted/ I am aware that the fact that a visa
has been granted to me does not mean that I will be entitled to enter
the territory of the Russian Federation, if any reasons are appear.
In a case of refusal of entry I do not have a right to compensation
of damage. |
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** - Not to be filled by holders of diplomatic
and official passports |
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1. Present citizenship (if you formerly
had USSR or Russian
citizenship, please
indicate when and why you lost it)
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2. Last name
(as in passport, in capital letters) |
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3. First and middle names (as in passport)
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4. Other
names ever used (maiden name, professional, religious aliases) |
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5. Place of birth (if born in Russia,
please indicate when and to what country you emigrated)
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6. Date of
birth (DD/MM/YY)
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7.
Sex
M
F
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9. Russian institution or organization
to be visited (name and address,
phone, fax number,
E-mail (if known), name of contact person)
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8. Purpose of visit
official
tourism
medical
business
private
cultural
sports
other, please specify
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**10. Itinerary (places to be visited)
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11. Date
of entry (DD/MM/YY)
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12. Date
of departure (DD/MM/YY)
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13. Number of entries
1
x
2
multiple
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14. Passport
number
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Passport
issued by |
Date of issue
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Valid
until
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15.Type of passport
diplomatic
official
tourist
seaman’s passport
alien’s
travel document
other (please specify)
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**16. Name and reference
number of the tourist group
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**17. Do you have
à medical insurance policy valid in Russia (please specify)?
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18. Who will pay for your
trip to and stay in Russia?
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19. Marital status
ìarried
single (never married)
divorced
separated
widowed
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20. Spouse’s full name (even if divorced
or separated, please indicate maiden name if applicable)
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21.Spouse’s
date of birth (dd/mm/yy) |
22.
Spouse’s place of birth
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**23. Your father’s full name
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**24. Your
mother’s full name |
25. Have you ever been issued a Russian
visa?
Yes
When?
Where?
No
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**26. Have you ever lost
your passport or had one stolen?
Yes
No
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**27. List all countries you have visited
in the last ten years and indicate the year of visit
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**28. List
all countries which have previously issued you a passport
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**29. List your last two places of work,
excluding the current one |
1. Name
Address
Your position |
Phone
number
Your supervisor’s
full name
Dates of employment |
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2. Name
Address
Your position |
Phone number
Your supervisor’s
full name
Dates of employment |
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List all educational institutions you ever attended, except high schools |
1. Name
Course of study
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Address and
phone number
Dates of admission
and graduation
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2. Name
Course of study
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Address and
phone number
Dates of
admission and graduation
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**31. List all professional, civil and
charity organizations which you
are (were) a member
of, or contribute (contributed) to, or work (worked) with
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**32. Do
you have any specialized skills, training or experience related to fire-arms
and explosives or to nuclear, biological or chemical activities? If
«Yes», please explain |
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**33. Have you ever performed military
service? If «Yes», indicate the country, branch of service, rank,
military occupation and dates of
service No
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Have you ever been involved in an armed conflict, either as a member
of the military service or a victim? If «Yes», please explain
No |
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Are any of your relatives mentioned below staying in Russia now? Is
he (she) a permanent resident or citizen of Russia? If «Yes», indicate
that person’s full name, address and status in Russia (citizen of
Russia, permanent or temporary resident, visiting, studying, working,
etc.)
Husband/Wife
Father/Mother
Brother/Sister
Bridegroom/Bride
Son/Daughter
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36. IMPORTANT! EACH APPLICANT MUST READ
AND GIVE ANSWERS TO THE FOLOWING QUESTIONS
A visa may not be issued
to persons belonging to specific categories, defined by the Law as undesirable,
except in cases
when a waiver has been
obtained in advance. |
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Have
you ever been arrested or convicted for any offence?
Yes
When?
Where?
No
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- Have you ever been sick
with a communicable disease of risk for the public or suffered a dangerous
physical or mental disorder?
Have you ever abused drugs or been
a drug-addict? Yes
No
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- Have you ever been refused
a Russian visa?
Yes
When?
Where?
No
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- Has your Russian visa ever
been canceled?
Yes
When?
Where?
No
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- Have you ever tried to
obtain or assisted others to obtain a Russian visa or enter Russia by
providing misleading or false
No
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- Have you ever overstayed
your Russian visa or stayed unlawfully in Russia? Yes
No
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- Have you ever been
deported from Russia?
Yes
When?
Where?
No
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While an affirmative answer does not
automatically mean ineligibility for a visa, if you answered «Yes»
you will have to appear
in person before a Consular officer.
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37. Your permanent address, phone, fax
number and E-mail address
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Place for photograph |
40. Has anyone
assisted you in completing this application form? If «Yes», have the
assisting
person complete item
41
Yes
No
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38. Place of work or study (name, address,
phone and fax number,
E-mail address), present
position
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41. Application completed by
Name
Relationship
to applicant
Address
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39. Name, address and phone number of
person or hotel in Russia
that you plan to stay
with
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Applicant’s signature, Date
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Signature of person completing
the form,Date |
(Russian
Visa Application Form - SAMPLE RUSSIAN VISA APPLICATION DOCUMENT)
Russian Visa Application - Expedite Service - Los Angeles CA
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