VISA registration form

Closing date is May 20, 1998.

Could You kindly provide all these details, since they are essential for obtaining Russian visa. Thank You.

Prof Dr Mr Ms

Surname
First name
Second name
Organization
Position
Speciality
Date of birth
Place of birth
Citizenship
Passport number (if you have)
Working address
Town/City
Post/Zip Code
Country
E-mail
Phone
Fax

What languages do you speak

Have you been before in Russia (please, mention when and where)

Planned arrival date

Departure date

I would like to present

Oral   Poster  Internet computer demonstration

Title