Online Visa Application for the Russian Federation

Transcription

1 Orderform for Online Visa Application for the Russian Federation I herewith authorize the Visa Dienst Bonn GmbH & Co. KG to handle the online visa application process on my behalf for the additional service fee of 15,00 Euro + VAT in order to apply for a visa for the Russian Federation. I declare that all the following data in this form are complete, true and correct and I authorize Visa Dienst Bonn GmbH & Co. KG to return the automatically generated application form to me for my original signature. Client:...Contact person:... Street / No.:... Postcode / City:... Phone: Mode of shipment: by Mail (Deutsche Post) by Mode of payment: Direct Debit Mandate... Place & Date Signature Please answer all questions completely and correctly and send this questionnaire including all your complete application documents and your original passport to our responsible service office. VISA DETAILS: Nationality:... If you formerly had USSR or Russian citizenship, please indicate when and why you lost it: (please attach a copy of your denaturalization certificate) Type of visa: Tourist Private visit Business Official visit Work Study Transit Refugee Science / Cultural / Sports / Religion Temporary Residing Purpose of visit (in detail):... Category of visa: Number of entries: 1x 2x multiple Date of entry in Russia:... Date of departure from Russia:... Please note: The date of entry and departure must exactly correspond to the date of entry and departure in the provided invitation / visa support letter (tourist voucher)! PERSONAL DETAILS Family (last) name (as in passport):... First and middle names (all, as in passport):... Birth name / pseudonym (if any):... Sex: female male Date of birth:... Place of birth (as in passport):... If you were born in Russia, please indicate when and which country you emigrated to: Page 1 of 5

2 Marital status: married single (never married) divorced separated widowed Spouse s full name (if divorced or separated, please indicate maiden name if applicable):.... Spouse s date of birth:.. Spouse s place of birth:.... PASSPORT DETAILS Type of passport: diplomatic official ordinary (tourist) other (please specify): Passport No.:... Issued by:... Date of issue:... Valid until:... VISIT DETAILS Name & address of the Russian institution or organization to be visited?: for business visitors: name of the host organization & city Number of invitation & TIN-Organization (= INN-Tax-No. of the Russian Institution/Company/Organisation) (only for business visa) Please attach a copy or original of your invitation! Name & address of the Russian host tourist company (only for tourists):... Reference No. of the Russian host tourist company (only for tourists) :... Confirmation No. of the Russian host tourist company (only for tourists):... Please attach a copy of your visa support letter! Name, Surname and address of host (only for private visits) :... Please attach your original invitation! Birthday of host (only for private visits):... Itinerary: (please indicate all places of visit):... Details of health insurance valid in Russia (please specify insurance company & No. of insurance certificate)... Who will pay for your trip to and stay in Russia? Independently Company: Name of organization:..... Others Individual: Name, Surname... Date of birth:... Do you plan to stay anywhere (hotel, individual) during your stay in Russia? YES If yes, please indicate: Hotel: Hotel name:... Address:.....Phone:.. Individual: Name, Surname:.... Date of birth:... Address:..... Phone:. Page 2 of 5

3 ADDITIONAL INFORMATION IMPORTANT! Each applicant must read and answer the following questions (A visa may be refused to persons who are within specific categories defined by law as inadmissible to Russia) Have you ever been arrested or convicted for any offence? YES When?. Where?... Have you ever been afflicted with a communicable disease of public health significance or a dangerous physical or mental disorder? Have you ever been a drug abuser or an addict? YES Have you ever been refused a Russian visa? YES When?. Where?... Has your Russian visa ever been cancelled? YES When?. Where?... Have you ever tried to obtain or assisted others to obtain a Russian visa or enter Russia by providing misleading or false information? YES Have you ever overstayed your Russian visa or stayed unlawfully in Russia? YES Have you ever been deported from Russia? YES When?. Where?... Do you have any specialized skills, training or experience related to firearms, explosives, nuclear, biological or chemical substances? YES (if yes, please specify).. Have you ever been enlisted to military service? YES (if yes, please specify) In which county?... Service:. Rank:... Occupation:....Date from:.... Date to:.. Are/were you a member of a professional, civic or charitable organizations or do you cooperate/cooperated with any of these organizations? YES if yes, organization name:.... Have you ever been involved in armed conflicts, either as a member of the military service or a victim? YES (if yes, please specify) Conflict name:... Country name:. Conflict date (DD/MM/YY):. Your answer YES in one of the questions above does not automatically signify ineligibility for a visa. In this case you may be invited for a personal interview at a Russian consulate. Page 3 of 5

4 EDUCATION AND WORK EXPERIENCE Have you ever attended any educational institutions, excluding secondary school?: 1.) Name: Phone number:.. Course of study:.... Date of admission:.. Date of graduation: ) Name: Phone number:.. Course of study:.... Date of admission:.. Date of graduation:.... Have you ever changed your place of employment before entering the current job? 1. Name: Phone number:.. Your position:... Your chief s surname:... Date of joining:.. Date of dismissal: Name: Phone number:.. Your position:... Your chief s surname:... Date of joining:.. Date of dismissal:.. LAST VISIT DETAILS Have you ever been issued a Russian visa? YES When?... Where?... Has your passport ever been lost or stolen? YES List all countries you have visited in the last ten years and indicate the date of visit (DD/MM/YY): List all countries which have ever issued you a passport: Page 4 of 5

5 MISCELLANEOUS INFORMATION Your father s full name:. Your mother s full name:.. Permanent residential address: (Street & No.):... Post code:... City:... Phone No. (conventional):... Phone No. (mobile):... Fax-No.: Current employer:... (Company, Organization, Institution) Current occupation/position:... Current place of work or study address: (Street & No.):... Post code:... City:... Phone No. (conventional):... Phone No. (mobile):... Fax-No.: Are any of your relatives currently staying in Russia?: (if yes, please indicate relationship, name(s), date(s) of birth & complete address)..... Page 5 of 5