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A.N.Kost
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III International Conference on Heterocyclic Chemistry,
in Honor of the late Professor A.N. Kost's 95th Anniversary

Moscow, 18 - 21 October 2010

Russian Visa


Please fill in the registration form for the visa and send it to us by e-mail.

1. Surname
2. First, Middle Name(s)
3. Date of birth (day, month, year)
4. Sex
5. Citizenship
6. State of birth
7. Exact place of birth
8. State of permanent place of residence
9. Region of permanent place of residence
10. Country and city where you intend to obtain the visa in Russian Consulate
11. Employer:  full name of organization, firm
12. Employer's full address (zip code country, city, street, building №)
13. Current occupation
14. A copy of your passport with the following data: Name and surname, Date of birth, Sex, Citizenship, Passport number, Date of issue, Expiration date
15.  Dates and duration of planned stay in Russia 
16. Telephone
17. Fax
18. Cities which you intend to visit in Russia.




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