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Application Form Eng

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Federal State-Funded Educational Institution of Higher Education Udmurt State

University
426034 Russia, Izhevsk, Universitetskaya str., 1
Phone +7 (3412) 916-181, Fax +7 (3412) 916-480, e-mail: inec@udsu.ru
INTERNATIONAL STUDENTS’ APPLICATION FORM

1. Personal information
Please print or write very clearly in “block letters” in English language.
Maqsudov
Surname
Name
Middle name
Sex  male  female
Date of birth
Place of birth
Citizenship
(country, city)
Passport
number Date of issue Date of expire
Passport must be valid not less
than 18 months
after the expected date of Contacts
departure from
phone
Russian Federation
e-mail

Please write full and correct Full home


home address (country, city, address
street, building and
index).Information will be
checked by Migration
Department of Russian
Federation. Occupation (at the moment of applying)
Status :  Student
 Employee  Unemployed
Please, choose only one option. If
you have already finished your Title of organization:
study and you don’t have a job,
you should choose Place of Address:
“unemployed” work/study
Position
Education (at the moment of applying)
Current educational level  School/college graduate  Bachelor
 Master  Postgraduate

Title of educational
Specialization/
organization
Field

Family
Mother Full name
Position, place of work
Contacts

Father Full name


Position, place of work
Contacts
2. Study programme at Udmurt State University (UdSU) I
Choose programmes which you would like to study
 Non-Degree programme
 Pre-university course (RKI + special subjects Duration of the programme
 Academic year (01.09.-30.06.)
 Degree programme
Level Study field
 Collage  Oil and gas engineering  Natural sciences (biology, chemistry,
 Bachelor  Social communications geography etc.)
 Master  Mathematics
 History and sociology
 Postgraduate  Physics
 Physical education and sport
 Art and design  Computer science
 Russian language and culture  Pedagogy and psychology
 Foreign languages  Civil defense
 Law, social management and security  Finno-Ugric studies
 Journalism
 Economics and management
3. Accommodation
 I need housing in the  I will rent a flat, address:

student dormitory
4. Place of visa obtaining
You can find a list of Diplomatic and Consular Missions of Russia Abroad on the official web-site of Ministry of education
http://en.russia.edu.ru/idbcons//

Country City

5. Extra information
Language proficiency
*Russian language proficiency Native language Other languages
according to the Common European
Framework of Reference (CERF):
А1 – Elementary;
Russian language (proficiency*)
А2 – Pre-Intermediate;
B1 – B2 –Intermediate;
С1 – С2 – Advanced
Have you resided in Russia before?
Yes No
Period, purpose and the region of your latest stay in
Russia:

Where did you find information about UdSU?


 Internet  brochure  friend  Russian Consulate  Other
Person to be contacted (in case of emergency or other issues)
Full name Contact phone number

certify that the above information is complete and true. I understand that any false information will affect the decision on my application
and make me ineligible for admission at Udmurt State University.
I am giving my consent to Udmurt State University for the processing of personal data for the sole purpose of the organizations’ document
procedure and collection of all personal data above in IAS UdSU system and electronic devises as well. Also my consent is given for collection,
systematization, accumulation, storage, clarification (updates, changes), use, distribution (including disclosure), depersonalization,
blocking, destruction as well as any other action with personal data (including the disclosure of my personal data to third parties) in accordance
with the effective laws of the Russian Federation. The consent is valid from the date of signing till the
day of recalling in written notice.

Signature

Date

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