Tourist Visa Application Form for Russia VISA DETAILS Nationality: If you had USSR or Russian nationality at some time please select "yes" and indicate when and why you lost it: ☐ Y
ES ☐ N
O If yes, When: Why: Purpose of visit: ☐ T
OURISM ☐ A
UTOMOBILE­TOURISM ☐ A
IM­TOURISM ☐ T
OURISM­HUNTING ☐ 7
2­HOURS­TOURISM ☐ T
OURIST GROUP Number of entries: ☐ S
INGLE ☐ D
OUBLE ☐ M
ULTI Date of entry into Russia: Date of exit from Russia: Tourist Visa Application Form for Russia PERSONAL DETAILS Surname (as in passport): First name, middle names, patronymic names (as in passport): Have you ever had other names (maiden name, pseudonym, holy order etc.)? ☐ Y
ES L
ast/first/middle name: ☐ N
O Sex: ☐ M
ale ☐ F
emale Date of birth: Your place of birth: If you were born in Russia, select "yes" and specify when and which country you have immigrated to: ☐ Y
ES ☐ N
O If yes, When: Which country: Tourist Visa Application Form for Russia PASSPORT DETAILS Passport number: Date of issue: Date of expiry: VISIT DETAILS Itinerary (places of visit) City name: Medical insurance policy number: Have you ever visited Russia? ☐ Y
ES ☐ N
O If yes, How many times have you been to Russia? Date of last trip to Russia: __/__/____ till __/__/____ Tourist Visa Application Form for Russia MISCELLANEOUS INFORMATION Do you have a permanent residential address? ☐ Y
ES Your permanent address
Your phone number Your fax Your email ☐ N
O Do you work (study) in the present time? ☐ Y
ES Name of employer Work position Employer address Work telephone Work fax Work email ☐ N
O Children under 16 years and other relatives written in your passport and travelling with you: ☐ Y
ES Kinship Surname First name
Date of birth Your home address ☐ N
O Do you currently have relatives in Russia? ☐ Y
ES Surname First name Relation degree
Date of birth Address ☐ N
O