Visa Application Form 1. Last name(s) (as in passport): 2. First name(s) (as in passport): 3. Date of birth (dd-mm-yy): 4. Mr/Mrs 5. Nationality: 6. Passport number: 7. Passport expiration date (dd-mm-yy): 8. Affiliation: 9. Position: 10. Address (official) street address: city: postal code: country: 11. Fax (official): 12. Phone (official): 13. Dates of visit (if not determined yet please put the earliest possible date of your arrival; the visa will be given for 30 days beginning from this date) 14. City (with a Russian consulate) where you will apply for a visa: (you may find list of Russian consulates at http://studyrussian.com/MGU/complete_list_of_consulates.htm but please DO check it) 15. Fax copy of the official invitation is SUFFICIENT / NOT SUFFICIENT to obtain the visa in this consulate Note: in many Russian consulates the invitation by fax is not sufficient to obtain the visa. Please, DO contact the consulate to clarify this question. 16. Fax number/Mailing address to send the invitation to: (please put fax number if fax copy of invitation is sufficient) 17. Russian cities planned to visit IMPORTANT:You have to send a copy of your passport (the pages containing your name, photo, passport number and passport expiration date) to the Organizing Committee of APM 2002. You may send it: - by e-mail to apm2002@eng.abdn.ac.uk (preferable) as scanned picture(s) in jpg format as an attachment The combined size of attachments should NOT exceed 500 K, otherwise your message may be lost. - by fax +7(812)321-47-71 - by ordinary mail to APM 2002 Organizing Committee Institute of Problems of Mechanical Engineering of Russian Academy of Sciences Bolshoy pr. V.O., 61, St.Petersburg, 199178, Russia Do likewise with the passports of all accompanying persons. I would like to come with accompanying person(s): yes no Their names: If "yes", please, make a separate visa form for each accompanying person: fill in the same fields for everyone (DO NOT omit affiliation, position, address and fax of the institution FOR EMPLOYED and FOR STUDENTS or PUPILS). IMPORTANT: Please, check that your medical insurance is valid in Russia. Please note that we CANNOT start the procedure of making the invitation for you (which takes some weeks) until we receive all the data requested and a copy of your passport page(s).