Приложение N 18 к Инструкции о порядке
приема иностранных делегаций и отдельных иностранных граждан в Федеральной службе по экологическому, технологическому и атомному надзору РД-18-02-2004

ФОРМА ЗАЯВКИ ДЛЯ ИНОСТРАННЫХ ГРАЖДАН НА ОФОРМЛЕНИЕ РОССИЙСКОЙ ВЪЕЗДНОЙ-ВЫЕЗДНОЙ ВИЗЫ (НА АНГЛИЙСКОМ ЯЗЫКЕ)

Please fill the blank in typing form
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       APPLICATION FORM FOR THE INVITATION TO VISIT RUSSIA
                      WITH BUSINESS PURPOSES
                          Personal data
                          ─────────────
Surname (Latin spelling) _________________________________________
Name (names) (Latin spelling) ____________________________________
Date of birth: date ________ month ________ year __________
Place of birth (country, city/ region): ___________________
Sex __________________ Citizenship ________________________
Passport number ___________________________________________
                dated of issue _______ valid till _________
Regular work (full name of the company) ___________________
___________________________________________________________
Occupation ________________________________________________
Office address: postal index ______________________________
                             country ____________
                             city _______________
                             street _____________
                             house number _______
                             office _____________
                             phone ______________
                             fax ________________
Time and purpose of the visit
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Purpose of entry to RF (name of the seminar or the project)
___________________________________________________________
___________________________________________________________
Planned entry to RF: from __ till __ for (number of days) _
Type of visa requested (single, double, multiple) _________
City(ies)/Place(s) to be visited __________________________
Place  of issuing the visa (where the Council Section of RF
Embassy is available аnd convenient for the Applicant) ____
___________________________________________________________
Please, enclose the copy of your passport (frond page).
Signature _________________________
Источник: Приказ Ростехнадзора от 03.11.2004 N 160