Реферат: Visa application important! Please type or print using ballpoint pen

Embassy of the Russian Federation in Nepal

VISA APPLICATION IMPORTANT! Please type or print using ballpoint pen

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.





^ 1. Present citizenship (if you formerly had USSR or Russian

citizenship, please indicate when and why you lost it)



































































^ Last name (as in passport, in capital letters)






































































^ 3. First and middle names (as in passport)
































































^ 4. Other names ever used (maiden name, pen-name, holy orders, etc.)




































































^ 5. Place of birth (if born in Russia, please indicate when and to

what country you emigrated)






































































































^ 6. Date of birth (DD/MM/YY)

7. Sex

























M







F















































^ 8. Purpose of visit

official







tourism







medical







business




private







cultural







sports






















other, please specify









































































































^ 9. Russian institution or organization to be visited (name and address,

phone, fax number, E-mail, name of contact person)






































































































































































































**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 No



































Issued by



































^ Date of issue





























^ Valid until






























^ 15.Type of passport




diplomatic




оfficial




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. Has your passport ever been lost or 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 ever issued you a passport
































































































































































































































































































































































































































































**29. List your last two places of work, excluding the current one

1. Name




















































^ Phone number


























































































































































Address




















































^ Your chief’s surname














































^ Your position

















































^ Dates of joining - dismissal











































2. Name




















































^ Phone number




















































Address




















































^ Your chief’s surname














































^ Your position

















































^ Dates of joining - dismissal











































**30. List all educational institutions you ever attended, except high schools

Name































































^ Address and phone number



































































^ Course of study































































^ Dates of admission and graduation



































































Name
































































^ Address and phone number


































































^ Course of study
































































^ Dates of admission and graduation


































































**31. List all professional, civil and charity organizations which you

are (were) a member of or contribute (contributed) or cooperate

(cooperated) with


























































































































































































































































































**32. Do you have any specialized skills, training or experience

related to fire-arms and explosives or to nuclear, biological or

chemical activities? If «Yes», please explain




















































































































































































































































































**33. Have you ever performed a military service? If «Yes», indicate the country, branch of service, rank, military occupation and dates of

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

































































































































^ 35. Is 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


































































































































































































































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


















^ Have you ever overstayed your Russian visa or stayed unlawfully in Russia? Yes




No






^ 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

































































































































































































































































































^ 38. Place of work or study (name, address, phone and fax number,

E-mail address), present position

















































































































































































































































































































Place for


photograph

^ 40. Has anyone assisted you in completing this

application form? If «Yes», have the assisting

person complete item 41 Yes




No













^ 41. Application completed by

Name




























^ Relationship to applicant







































































































Address
















































































































^ 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

** - Not to be filled by holders of diplomatic and official passports