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Application 42421016

Nguyen Duc Anh, a 17-year-old male citizen of Vietnam, is applying for a single-entry educational visa to Russia to study in Moscow from September 9th to November 18th, 2023. He will be hosted by the Ministry of Science and Higher Education of Russia and has provided his passport information, address, and contact details in the application. This will be his first trip to Russia and he does not have any relatives currently living in the country.

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Đức Anh Nguyễn
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77 views2 pages

Application 42421016

Nguyen Duc Anh, a 17-year-old male citizen of Vietnam, is applying for a single-entry educational visa to Russia to study in Moscow from September 9th to November 18th, 2023. He will be hosted by the Ministry of Science and Higher Education of Russia and has provided his passport information, address, and contact details in the application. This will be his first trip to Russia and he does not have any relatives currently living in the country.

Uploaded by

Đức Anh Nguyễn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ON-LINE VISA APPLICATION FORM 20002-42421016 \ 05.09.

2023 18:28:17
EMBASSY OF THE RUSSIAN FEDERATION IN
VIET NAM
1. Nationality (if you formerly had VIET NAM
USSR or Russian citizenship, please
indicate when and why you lost it).

2. Surname (as in passport). NGUYEN

3. First name, other names, patronimic DUC ANH


(as in passport).

4. Date of birth (dd/mm/yyyy). 02/10/2005

5. Sex. MALE

6. Passport.
Passport No: P01334155
Date of issue: 13/01/2023
Valid until: 13/01/2033

7. Purpose of visit. STUDY

8. Category and type of visa. COMMON EDUCATIONAL

9. Number of entries. SINGLE

10. Date of arrival and departure. 09/09/2023 - 18/11/2023

11. Host organisation you intend to


visit.
Company name: МИНИСТЕРСТВО НАУКИ И ВЫСШЕГО ОБРАЗОВАНИЯ РФ
TIN: 7707740714
Invitation No: NONE
Directive No: 313937
Address: 125993, МОСКВА, УЛ. ТВЕРСКАЯ, Д. 11, СТР. 1, 4

12. Route of journey (destination MOSCOW


points).

Photograph and signature. Service information (automatically generated).

Application form recipient: EMBASSY OF THE RUSSIAN


FEDERATION IN VIET NAM
Basis (voucher, dir. No, inv. No): 313937
The estimated date of visit to the RC:
Place for Application No (web-site): 42421016
photograph The date of processing: 9/5/2023
*2000242421016*

Application No (VAC):
The date of processing by the VAC:

Request No in Russian Consulate (RC):


I hereby agree to the processing and transfer of my personal data in
electronic form for the purposes of making a decision on visa issuance.
I declare that data provided in the application form are full and
Date (dd/mm/yyyy), personal signature correct. I am aware that any false information may be a cause for the
denial of visa or for the cancellation of the previously issued visa and
may lead to other consequences provided for by the legislation of the
Russian Federation. Subject to the receipt of visa, I pledge to leave
the territory of the Russian Federation before the visa expiration date.
I am aware that valid visa does not automatically allow to enter the
territory of the Russian Federation. In case of denial of entry, I will
not seek any compensation for potential losses.

Page 1 of 2
13. Children under 16 years and other
relatives written in your passport.
Do you travel with children under 16 NO
years or other relatives written in
your passport?

14. Your permanent address, telephone HAI DUONG CITY HAI DUONG PROVINCE VIET NAM, TEL: +840983243497, EMAIL:
number, fax number, E-mail. [email protected]

15. Current/latest place of work. NONE

16. Information about your previous


trips to Russia.
How many times have you been to Russia? -

17. Information about health insurance.


Do you have health insurance that is NO
valid in Russia?

18. Other names used in the past NONE


(maiden, pen-name, religious, etc.).

19. Your place of birth (if you were HAI DUONG


born in Russia, please specify when and
which country you emigrated to).

20. Additional information about your


relatives.
Do you currently have relatives in NO
Russia?

Page 2 of 2

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