Odessa State Economic University icon

Odessa State Economic University




НазваOdessa State Economic University
Дата02.08.2012
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Odessa State Economic University

Please, attach the photo made one of these days

On this place



The registration Questionnaire for Reception of

Invitations to Study for the Students from Other Countries

(Optional classes on studying Russian (Ukrainian) language and Training of Foreign Students)

Only for using in the department.

NOTE: Please, closely read through an available Registration form for foreign students before its filling. Take the form and send the filled copy of the form to our department. You also can contact our department for the reception of other necessary materials. The department supervises coordinator, whose addresses you can find, contact on ird@oseu.edu or george@oseu.edu.ua fax +380 48 723 11 81




Date:







Sent to : Department of International Relations

Odessa State Economic University

8, Preobrazhenskaja str,Odessa, Ukraine,65082










^ Personal information




NAME: (Write your full name, as it is specified in such documents as :passport, school certificate , passing examinations (tests), etc.)










SURNAME

NAME

PATRONYMIC























-







-







^ SURNAME, NAME ( IN ENGLISH. – AS IN THE PASSPORT)

Male

Female.

DATE




MONTH




year




SEX

^ DATE OF BIRTH

























CITIZENSHIP

^ COUNTRY OF BIRTH

NATIONALITY

SITY, REGION….,










^ PLACE OF BIRTH










No. OF PASSPORT




^ I do not have passport for travel abroad since it can be issued after reception of the invitation to study















available educational level

SECONDARY EDUCATION BACHELOR
 MASTER PHD. ANOTHER _______________













^ Specify the basic area of studying at University




Planned degree

BACHELOR specialist

MASTER postgraduate study













^ ADDRESS FOR CONTAC (HOME)







^ STREET AND HOUSE NUMBER

CITY/REGION




















^ Republic /Adm.district

POST CODE

COUNTRY










PHONE










FAX













^ COUNTRY CODE

CITY CODE

LOCAL NUMBER













E-mail




Additional information : - Country where the applicant will receive the visa to Ukraine






^ VISA STATES

C
If you have a visa specify

where and by whom it is

given out and registered (Embassy, the Country, City )
itizenship
: _______________


Do you have visa?

  • yes

  • no

if no, what kind of visa are you going to formalize ?

status/visa (point only one)

  • F-1 student
    (in Ukraine code “O”)

  • Citizenship of Ukraine

  • Permanent resident

  • other: ____________________







signature




date:




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