Photo (document-style) / Please insert here your photo in jpeg format
Surname
Name (s)
Citizenship / Are you a citizen of the Russian Federation?
YES
NO
IF NO
please precise:
Date of birth (dd/mm/yyyy)
Place of birth / Town / City:
State/ Province:
Country of Birth:
Passport / Passport Number:
Country of ID Document:
Date of Issue:
Date of Expiry:
Place of Issue / Issuing Authority:
Residential address
For foreignstudents– address in home country (in English)
For Russian students – address of registration (in Russian – as in National passport p.5) / Zipcode:
Country:
City/village:
Street:
Number of house:
Number of apartment:
Home telephone number
Contact mobile phone number
Contact email
QUESTIONS BLOCK
Has the applicant graduated from High School? / YES (year of graduation):
NO (expected graduation):
Name of the School:
Educational program (national secondary education (any country), IB, A-Level):
Period of Studies:
Country:
City:
*if an applicant has studied in other schools before the school of graduation, they all should be mentioned below in details.
Name of the School:
Educational program (national secondary education (any country), IB, A-Level):
Period of Studies:
Country:
City:
Name of the School:
Educational program (national secondary education (any country), IB, A-Level):
Period of Studies:
Country:
City:
Has the applicant graduated from University? / YES
NO
If YES
Name of the University:
Graduate Level:
Period of Studies:
Program:
Country:
City:
Is the applicant currently enrolled to any University? / YES
NO
If YES
Name of the University:
Graduate Level:
Period of Studies:
Program:
Country:
City:
Native Language(s)
Does an applicant know any foreign language(s)? / Language 1:
Level (A2, B1, Advanced, etc.):
Explanations (study at summer school, in High School, etc.):
Language 2:
Level (A2, B1, Advanced, etc.):
Explanations (study at summer school, in High School, etc.):
Language 3:
Level (A2, B1, Advanced, etc.):
Explanations (study at summer school, in High School, etc.):
Did the applicant pass a TOEFL / IELTS exam? / TOEFL , IELTS (please underline)
YES – Overall Score:
NO – Expected Date:
Referee 1 / Title (Ms, Mrs, Mr, Prof, Dr etc.):
Name(s):
Surname:
Position:
Organization:
Address:
Email:
Tel.number:
Connection (academic, professional, etc):
Referee 2 / Title (Ms, Mrs, Mr, Prof, Dr etc.):
Name(s):
Surname:
Position:
Organization:
Address:
Email:
Tel.number:
Connection (academic, professional, etc):
Referee 3 (not compulsory) / Title (Ms, Mrs, Mr, Prof, Dr etc.):
Name(s):
Surname:
Position:
Organization:
Address:
Email:
Tel.number:
Connection (academic, professional, etc):
Does an applicant need a visa? / YES
NO
If YES:
Name(s):
Surname:
Date of Birth:
Gender:
Place of Birth:
Occupation (current place of employment, current place of studying):
Position:
Company or University address:
Company or University phone number, Contact Number:
Place of visa issue (Country and city of Russian Consulate, where you are going to apply for a Russian visa):
Contact e-mail address:
Does an applicant need a place at the dormitory? / YES or NO
Failure to provide truthful and accurate information may result in your application being disqualified or your admission to MGIMO being recalled.