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Type of the visa:


	Today's date:	6-09-2010

	Last name:		(as in the passport)
	First name:		(as in the passport)
	Date of birth:		(as in the passport)
	Citizenship:
	Gender:
	Number of passport:
	Date of issue:

Attention! Your passport should be valid not less, than six months after the ending of validity of the visa.

	Date of arrival in Russia:
	Date of departure from Russia:

	The purpose of visit in the Russia:
	Your route (no more than 3 points):

	Contact phone:
	Home address: (country, postal code, city)
	E-mail:


	Type of the visa:
	Validity:		90 days

	Post:
	Work address: (country, postcode, city)
	Work phone:
	Telefax:


	Category of the visa:		Multiple
	Validity:

	Post:
	Work address: (country, postcode, city)
	Work phone:
	Telefax:


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