Об утверждении и введении в действие Инструкции о порядке приема иностранных делегаций и отдельных иностранных граждан в Федеральной службе по экологическому, технологическому и атомному надзору

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  

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 and convenient for the Applicant) _____________________________________________________________

Please, enclose the copy of your passport (frond page).

Signature