Visa Application Sample - Embassy Of The Russian Federation In Usa Page 2

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**30. List all educational institutions you ever attended, except high schools
1. Name
Address and phone number
{self explanatory}
{self explanatory}
Course of study
Dates of admission and graduation
2. Name
Address and phone number
{self explanatory}
{self explanatory}
Course of study
Dates of admission and graduation
**31. List all professional, civil and charity organizations which you
**32. Do you have any specialized skills, training or experience related to
are (were) a member of, or contribute (contributed) to, or work
fire-arms and explosives or to nuclear, biological or chemical activities? If
(worked) with
«Yes», please explain
{self explanatory}
{self explanatory}
**33. Have you ever performed military service? If «Yes», indicate the country, branch of service, rank, military occupation and dates of
{self explanatory}
service
**34. Have you ever been involved in an armed conflict, either as a member of the military service or a victim? If «Yes», please explain
{self explanatory}
35. 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
{self explanatory}
Bridegroom/Bride
Son/Daughter
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.
Have you ever been arrested or convicted for any offence?
Yes
When?
Where?
No
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
Have you ever been refused a Russian visa?
Yes
When?
Where?
No
Has your Russian visa ever been canceled?
Yes
When?
Where?
No
Have you ever tried to obtain or assisted others to obtain a Russian visa or enter Russia by providing misleading or false
information?
Yes
No
No
Have you ever overstayed your Russian visa or stayed unlawfully in Russia?
Yes
Have you ever been deported from Russia?
Yes
When?
Where?
No
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.
37. Your permanent address, phone, fax number and E-mail address
40. Has anyone assisted you in
completing this application form? If
Place for photograph
«Yes», have the assisting
{self explanatory}
person complete item 41
PLEASE SEND
Yes
No
X
TWO
38. Place of work or study (name, address, phone and fax number,
41. Application completed by
PASSPORT
E-mail address), present position
Name
SIZED
PHOTOS to
Relationship to applicant
IMAC ALONG
{self explanatory}
WITH YOUR
Address
COMPLETED
APPLICATION
39. Name, address and phone number of person or hotel in Russia
that you plan to stay with
Applicant’s signature, Date
Signature of person
completing the form,Date
* Please leave this portion blank, your IMAC
Representative will complete it for you.

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