MGIMO School of Government and International Affairs
MGIMO School of Government and International Affairs
APPLICATION FORM/ 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
/ 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 foreign students – 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:
House number:
Apartment number:
/ Home telephone number
/ Mobile telephone number
/ E-mail address
/ Have you graduated from high school? / YES (year of graduation):
NO (expected month and year graduation):
Name of the School:
Educational program (national secondary education (any country), IB, A-Level):
Period of Studies:
Country:
City:
*if you studied in other schools before the school of graduation, please list them below.
Name of the School:
Educational program (national secondary education, IB, A-Level):
Period of Study:
Country:
City:
Name of the School:
Educational program (national secondary education, IB, A-Level):
Period of Study:
Country:
City:
/ Have you attended or graduated from a college or university? / YES
NO
If YES
Name of college/university:
Graduate Level:
Period of Study:
Program:
Country:
City:
/ Are you currently attending a college or university? / YES
NO
If YES
Name of college/university:
Graduate Level:
Period of Study:
Program:
Country:
City:
/ Your Native Language(s)
/ Do you know any foreign languages? / Language 1
Level (A2, B1, Advanced, etc.):
Explanation (high school, training courses, etc.):
Language 2
Level:
Explanation:
Language 3
Level:
Explanation:
/ Did you recently pass a TOEFL / IELTS exam? / TOEFL, IELTS (please indicate)
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 (optional) / Title (Ms, Mrs, Mr, Prof, Dr etc.):
Name(s):
Surname:
Position:
Organization:
Address:
Email:
Tel.number:
Connection (academic, professional, etc):
/ Do you need a visa to study in Russia? / YES
NO
NOT SURE – PLEASE ADVISE
If YES, please enter your personal details below):
Name(s):
Surname:
Date of Birth:
Gender:
Place of Birth:
Occupation (current place of employment, current place of studying):
Position:
Company or School address:
Company or School phone number:
Russian Consulate to which you will to apply for the Russian visa (an unofficial list of Russian Consulates is available here
/ Do you need a place in the MGIMO dormitory? / YES
NO