Visa Application - Consulate General Of The Russian Federation In San Francisco
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1
2Consulate General of the Russian Federation in San Francisco
VISA APPLICATION
Please type or print using ballpoint pen
IMPORTANT!
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.
** - Not to be filled by holders of diplomatic and official passports
1. Present citizenship (if you formerly had USSR or Russian
2. Last name (as in passport, in capital letters)
citizenship, please indicate when and why you lost it)
3. First and middle names (as in passport)
4. Other names ever used (maiden name, professional, religious aliases)
5. Place of birth (if born in Russia, please indicate when and to
6. Date of birth (DD/MM/YY)
7. Sex
what country you emigrated)
M
F
9. Russian institution or organization to be visited (name and address,
phone, fax number, E-mail (if known), name of contact person)
8. Purpose of visit
official
tourism
medical
business
private
cultural
sports
other, please specify
**10. Itinerary (places to be visited)
11. Date of entry (DD/MM/YY)
12. Date of departure (DD/MM/YY)
13. Number of entries
1
2
multiple
14. Passport number
Passport issued by
Date of issue
Valid until
15.Type of passport
diplomatic
official
tourist
seaman’s passport
alien’s travel document
other (please specify)
**16. Name and reference number of the tourist group
**17. Do you have а medical insurance policy valid in Russia (please specify)?
18. Who will pay for your trip to and stay in Russia?
19. Marital status
мarried
single (never married)
divorced
separated
widowed
20. Spouse’s full name (even if divorced or separated, please indicate maiden name if applicable)
21.Spouse’s date of birth (dd/mm/yy)
22. Spouse’s place of birth
**23. Your father’s full name
**24. Your mother’s full name
25. Have you ever been issued a Russian visa?
Yes
When?
Where?
No
**26. Have you ever lost your passport or had one stolen?
Yes
No
**27. List all countries you have visited in the last ten years and indicate the year of visit
**28. List all countries which have
previously issued you a passport
**29. List your last two places of work, excluding the current one
1. Name
Phone number
Address
Your supervisor’s full name
Your position
Dates of employment
2. Name
Phone number
Address
Your supervisor’s full name
Your position
Dates of employment
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